2026 Rules Active
2026 Strategy Validated
R448,200 Non-PMB Cancer + R257,300 Non-Cancer Biologics
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Actuarial Strategy Reference
This strategy is generated based on the 2026 Council for Medical Schemes (CMS) registered rules and actuarial pricing matrices.
VERIFIED: 2025-12-20 | SOURCE: SCHEME_BENEFIT_GUIDE_2026
Similar Situations
Key Terms Explained
Key Terms for this Strategy
- Medical Savings Account (MSA)
- A fund of R22,512 included in your premium. You use this for day-to-day expenses like GP visits and scripts. [Source: Council for Medical Schemes Official Benefit Rules]
- Elective Procedure Co-payment
- A mandatory upfront fee you must pay to the hospital for specific scheduled surgeries that are not emergencies. [Source: Council for Medical Schemes Official Benefit Rules]
Common Questions
What is the 2026 monthly cost for the Main Member on BonComprehensive? [BonComprehensive Maximum Cancer + Biologic Funding]
The monthly contribution for a Main Member in 2026 is R12,509. Strategy reference: ing-2026.
What is the annual limit for internal prosthesis on BonComprehensive? [BonComprehensive Maximum Cancer + Biologic Funding]
The family limit for internal prosthesis is R67,640 per year. Strategy reference: ing-2026.
Are there co-payments for MRI scans? [BonComprehensive Maximum Cancer + Biologic Funding]
Yes, there is a R2,800 co-payment per scan event, unless it is a PMB. Strategy reference: ing-2026.
Does BonComprehensive cover me in any hospital? [BonComprehensive Maximum Cancer + Biologic Funding]
Yes, BonComprehensive provides access to any private hospital. Strategy reference: ing-2026.
How many chronic conditions are covered? [BonComprehensive Maximum Cancer + Biologic Funding]
The plan covers 61 chronic conditions (27 PMBs + 34 additional conditions). Strategy reference: ing-2026.
Is there a co-payment for joint replacements? [BonComprehensive Maximum Cancer + Biologic Funding]
Yes, if you do not use a Designated Service Provider (DSP), you will be liable for a R38,560 co-payment. Strategy reference: ing-2026.
What is the limit for non-PMB cancer treatment? [BonComprehensive Maximum Cancer + Biologic Funding]
Non-PMB cancer treatment is limited to R448,200 per family, paid at 80% if a DSP is used. Strategy reference: ing-2026.
Does the plan cover emergency room visits? [BonComprehensive Maximum Cancer + Biologic Funding]
Yes, you get 2 emergency consultations per family at a casualty ward paid from risk. Non-emergencies are paid from savings. Strategy reference: ing-2026.
What is the maternity benefit? [BonComprehensive Maximum Cancer + Biologic Funding]
You get 12 antenatal consultations, 2 2D ultrasounds, and other benefits like private ward delivery (up to 3 days). Strategy reference: ing-2026.
Do I have to pay for day surgeries? [BonComprehensive Maximum Cancer + Biologic Funding]
You can avoid a R5,440 co-payment by using a network day hospital for selected procedures. Strategy reference: ing-2026.
BonComprehensive Maximum Cancer + Biologic Funding strategy verified
Covering 1 family members
2026 rates applied