Comprehensive
(High Cover)
Subject to Preventative Dentistry or Savings first, then limit of
M=R8,219 | M1+R15,323.
Subject to overall day-to-day limit
Subject to Savings and ATB: 2 visits, fillings, x-rays, extractions, 2 scale and polish etc. 1 set plastic dentures (every 4 yrs). Fissure sealants (under 16 yrs). Benefits per beneficiary. Subject to *DENIS protocols
Subject to Savings and Threshold. Unlimited once Threshold is reached
Subject to Savings and Threshold. Unlimited once Threshold is reached
Benefits per beneficiary: 2 visits, 2 scale and polishing, 1 filling per tooth etc. (see brochure for full benefits) – Protocols apply
Subject to Savings, if available.
(Unlimited once Threshold is reached)
Limit of R7,497 per beneficiary, R14,994 per family.
(Dental Tariff 135%)
Comprehensive
(High Cover)
Subject to Preventative Dentistry or Savings first, then limit of
M=R7,628 | M1+R15,256.
Subject to overall day-to-day limit
Limit of R5,812 pf, 2 visits, fillings, x-rays, extractions, 2 scale and polish etc. 1 set plastic dentures (every 4 yrs). Fissure sealants (under 16 yrs). Benefits per beneficiary. Subject to *DENIS protocols
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Benefits per beneficiary: 2 visits, 2 scale and polishing, 1 filling per tooth etc. (see brochure for full benefits) – Protocols apply
Subject to Savings, if available.
(Unlimited once Threshold is reached)
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Comprehensive
(Medium to High Cover)
Subject to Preventative Dentistry or Savings first, then limit of
M=R4,550 | M1+R9,234.
Subject to overall day-to-day limit
2 visits, fillings, x-rays, extractions, 2 scale and polish etc. 1 set plastic dentures (every
4 yrs). Fissure sealants (under 16 yrs).
Benefits per beneficiary. Subject to *DENIS protocols
Subject to available Savings and Threshold (ATB limits)
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Benefits per beneficiary: 2 visits, 2 scale and polishing, 1 filling per tooth etc. (see brochure for full benefits) – Protocols apply
Subject to Savings, if available
Limit of R6,367 per beneficiary, R12,837 per family.
(Dental Tariff 135%)
Comprehensive
(Medium to High Cover)
–
2 visits, fillings, x-rays, extractions, 2 scale and polish etc. 1 set plastic dentures (every 4 yrs). Fissure sealants (under 16 yrs).
Benefits per beneficiary. Subject to *DENIS protocols
Subject to available Savings and Threshold (ATB limits)
Subject to Savings/ Wallet or self-funded and Threshold.
Unlimited once Threshold is reached
Benefits per beneficiary: 2 visits, 2 scale and polishing, 1 filling per tooth etc. (see brochure for full benefits) – Protocols apply
Subject to Savings, if available
Limit of R6,367 per beneficiary, R12,837 per family.
(Dental Tariff 135%)
Comprehensive
(Medium to High Cover)
–
2 visits, fillings, x-rays, extractions, 2 scale and polish etc. 1 set plastic dentures (every
4 yrs). Fissure sealants (under 16 yrs).
Benefits per beneficiary. Subject to *DENIS protocols
Subject to available Savings and Threshold (ATB limits)
Subject to Savings/ Wallet or self-funded and Threshold.
Unlimited once Threshold is reached
Benefits per beneficiary: 2 visits, 2 scale and polishing, 1 filling per tooth etc. (see brochure for full benefits) – Protocols apply
Subject to Savings, if available
Limit of R6,367 per beneficiary, R12,837 per family.
(Dental Tariff 135%)
Hospital & Savings
(Low to Medium Cover)
Preventative Dentistry paid from Risk.
All other subject to Savings
2 visits, 2 scale and polish treatments. Fissure sealants (under 16 yrs). Floride
treatments (older than 5 yrs – under 16 yrs). Benefits per beneficiary. Subject to *DENIS
protocols
Subject to available Savings
Subject to Savings or self-funded. Benefits for preventative dental benefits are available once Threshold Level is reached
Subject to Savings
Subject to Savings, if available
–
Hospital & Savings
(Low to Medium Cover)
Preventative Dentistry paid from Risk.
All other subject to Savings
2 visits, fillings, x-rays, extractions, 2 scale and polish etc. 1 set plastic dentures (every
4 yrs). Fissure sealants (under 16 yrs).
Benefits per beneficiary. Subject to *DENIS protocols
Subject to available Savings
Subject to Savings or self-funded. Benefits for preventative dental benefits are available once Threshold Level is reached
Benefits pbpa and subject to *DRC protocols, e.g. 1 routine checkup, 1 oral hygiene visit, 4 fillings, 2 root-canal treatments, extractions, plastic dentures (20% co-pay applies), procedures under aneasthetic – pre-auth required
Subject to Savings, if available
Subject to day-to-day benefits
(Dental Tariff 135%)
Hospital & Savings
(Low to Medium Cover)
Preventative Dentistry paid from Risk.
All other subject to Savings
2 visits, fillings, x-rays, extractions, 2 scale and polish etc. 1 set plastic dentures (every
4 yrs). Fissure sealants (under 16 yrs).
Benefits per beneficiary. Subject to *DENIS protocols
Subject to available Savings
Subject to Savings or self-funded. Benefits for preventative dental benefits are available once Threshold Level is reached
Conservative dentistry for children <18yrs paid from Risk. Beneficiaries >18yrs Subject to Savings
Subject to Savings, if available
Subject to day-to-day benefits
(Dental Tariff 135%)
Hospital & Savings
(Low to Medium Cover)
–
2 visits, 2 scale and polish treatments. Fissure sealants (under 16 yrs). Floride treatments (older than 5 yrs – under 16 yrs). Benefits per beneficiary. Subject to *DENIS
protocols
Subject to available Savings
Subject to Savings or self-funded. Benefits for preventative dental benefits are available once Threshold Level is reached
Conservative dentistry for children <18yrs paid from Risk. Beneficiaries >18yrs Subject to Savings
Subject to Savings, if available
Subject to day-to-day benefits
(Dental Tariff 135%)
Capitation
(Low Cover)
–
1 dental consultation per beneficiary per annum. 1 Scale and polish. Floride
treatment, fissure sealants (under 16 yrs).
R65 co-payment applies.
1 defined dental check-up pdpa. R120 copayment is applicable
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Subject to Health Saver, if available
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Capitation
(Low Cover)
–
1 dental consultation per beneficiary per annum. 1 Scale and polish. Floride treatment, fissure sealants (under 16 yrs).
R120 co-payment applies.
1 defined dental check-up pdpa. R180 copayment is applicable
–
1 Routine check-up per person per year. R110 co-payment per visit
Subject to Health Saver, if available
–
Hospital Plan
(Hospitalization Cover)
–
No Benefit
No Benefit
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–
Hospital Plan
(Hospitalization Cover)
No Benefit
No Benefit
No Benefit
Subject to Savings or self-funded. Benefits for preventative dental benefits are available once Threshold Level is reached
No Benefits
Subject to Health Saver, if available
–
Hospital Plan
(Hospitalization Cover)
No Benefit
No Benefit
No Benefit
Subject to Savings or self-funded. Benefits for preventative dental benefits are available once Threshold Level is reached
No Benefit
Subject to Health Saver, if available
Limit of R718 per beneficiary, R1,848 per family.
(Dental Tariff 135%)
Primary Care
(Network & Income Based)
Where clinically appropriate and subject to Rhythm1 prototolcs, Bestmed Rhythm Dental Network
1 visit, 4 fillings, 4 x-rays, extractions, 1 scale and polish etc. Emergency root canal treatment. Plastic dentures 20% co-payment and managed care protocols apply. Subject to pre-auth and *DENIS protocols
Consultations, fillings, extractions covered through Dentist Network. Certain rules and limits may apply
Subject to Savings or self-funded
Benefits pbpa and subject to *DRC protocols, e.g. 1 routine checkup, 1 oral hygiene visit, 4 fillings, 2 root-canal treatments, extractions, plastic dentures (20% co-pay applies), procedures under aneasthetic – pre-auth required
Examination, fillings & x-rays covered as per list of tariff codes. 1 visit pbpa. Preauthorisation is required if more than 4 fillings and extractions is required
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