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  • Boncap Declaration Form

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Highest income-band. Version: SEP 2015 - A 2 If you Checklist of Documents supplied We need Your latest payslip or P.O. Box 1101, Florida Glen 1708 Call Centre 0860 002 108 Fax (011) 671 5380 Email newapplications bonitas.co.za Letter from employer/company that con rms your income Earn a monthly salary and Your latest IRP5/IT3A and Your bank statements for the last 3 months (showing your monthly income and other consistent additional income/s, if applicable) 4 latest Weekly payslips.

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How to fill out the Boncap Declaration Form online

The Boncap Declaration Form is essential for members who have selected the BonCap Option. This guide will provide you with clear instructions on how to fill out the form online, ensuring you complete it accurately and efficiently.

Follow the steps to fill out the Boncap Declaration Form online.

  1. Click the ‘Get Form’ button to obtain the Boncap Declaration Form and open it in the editor.
  2. In Section 1, fill in the main member’s details clearly. Ensure all fields including title, surname, first names, identity number, date of birth, tax number, marital status, gender, ethnic group, cellphone, telephone numbers, and email are completed accurately.
  3. Next, select the income band that applies to your gross monthly income. If proof of income is not provided, it will default to the highest income band.
  4. Proceed to Section 2 to complete your spouse/partner’s details. Repeat the same process of filling in all fields clearly and selecting the applicable income band.
  5. Move to Section 3, which is only for those whose premiums are paid by a third party. Fill in the third party's details, including their title, surname, first names, and contact information. They will also need to provide banking details for contributions.
  6. In Section 4, declare the income. Fill in the relevant income details for both the main member and spouse/partner, listing all sources of income and ensuring accuracy.
  7. Attach all required documents as outlined in the checklist provided in the form. Missing documents could result in being defaulted to the highest income band.
  8. Finally, complete Section 5 by signing the form to acknowledge that the information provided is correct. Store your completed form securely.
  9. After filling out the form, you can save changes, download it for your records, print a copy, or share it as needed.

Start completing the Boncap Declaration Form online now to ensure your membership is processed efficiently.

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Bonitas BonSave provides extensive hospital cover and savings for out-of-hospital expenses. It provides major medical cover at 100% of the scheme's rate, limited benefits for 27 chronic conditions, cover for maternity consultations and a self-managed savings account.

Bonitas - Standard The Bonitas Standard plan offers semi-comprehensive medical aid cover, including unlimited hospitalisation and benefits for 45 chronic conditions, basic and advanced dentistry, optometry and maternity care.

Email: queries@bonitas.co.za.

The BonCap plan features unlimited hospital cover at 100% of the Bonitas rate and unlimited GP consultations, subject to using network providers. There's also limited cover for out-of-network and specialist consultations.

What You Get Hospital. network. N/A. Hospital. cover. Unlimited. Blood tests and x-rays. Unlimited at 100% of the Bonitas Rate. MRIs and CT. scans. R14 240 per family (In and out-of-hospital) (R2 000 co-payment per scan, except for PMB) Internal nerve. stimulators. ... Cochlear. implants. ... Mental health. hospitalisation. ... Take-home. medicine.

You get access to day-to-day benefits including unlimited GP consultations, layers of virtual care, dental and optical consultations, a private hospital network and more.

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