Basic Dentistry

HIGH COVER LEVEL 1

BONITAS

2021
BonComprehensive

BESTMED

2021
Pace 3

DISCOVERY

2021
Classic Comprehensive

FEDHEALTH

2021
MaximaExec

MEDIHELP

2021
Plus

MOMENTUM

2021
Extender –
Any Hospital, Any Chronic

Subject to Savings and Above Threshold Benefit

Subject to Savings and Threshold. Unlimited once Threshold is reached

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)

 

HIGH COVER LEVEL 2

BONITAS

2021
BonClassic

BESTMED

2021
Page

DISCOVERY

2021
Essential Comprehensive

FEDHEALTH

MEDIHELP

2021
Elite

MOMENTUM

2021
Extender: Any (Chronic: Any)

Limit of R4,950 pfpa.

  • 2 visits,
  • fillings,
  • x-rays,
  • extractions,
  • scale and polish etc.
  • 1 set plastic dentures (every 4 yrs). Benefits per beneficiary.

Subject to *DENIS protocols

Subject to Preventative Dentistry or Savings first, then limit of

M=R6,926 | M1+R13,852.

Subject to overall day-to-day limit

Subject to available Savings.

Unlimited at Scheme Tariff after 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)

MEDIUM-HIGH LEVEL 1 COVER

BONITAS

2021
BonComplete

BESTMED

2021
Pace 1

DISCOVERY

2021
Classic Priority

FEDHEALTH

MEDIHELP

MOMENTUM

2 visits

fillings

x-rays

extractions

scale and polish etc.

1 set plastic dentures (every 4 yrs). Benefits per beneficiary. Subject to

*DENIS protocols

Subject to Preventative Dentistry or Savings first, then limit of

M=R4,131 | M1+R8,384.

Subject to overall day-to-day limit

Subject to available Savings and Above Threshold Benefit

MEDIUM-HIGH LEVEL 2 COVER

BONITAS

2021
Standard

BESTMED

2021
Pace 1

DISCOVERY

2021
Classic Priority

FEDHEALTH

2021
FlexiFed 4 Any Hospital

MEDIHELP

2021
Prime 3

MOMENTUM

2021
Incentive:
Any Hospital, Any Chronic

2 Visits

Fillings

x-rays,

Extractions

Scale and polish etc.

1 set plastic dentures (every 4 yrs). Benefits per beneficiary.

Subject to
*DENIS protocols

Subject to Preventative Dentistry or Savings first, then limit of

M=R4,131 | M1+R8,384.

Subject to overall day-to-day limit

Subject to available Savings and Above Threshold Benefit

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

MEDIUM-HIGH LEVEL 3 COVER

BONITAS

2021
Standard Select

BESTMED

2021
Pace 1

DISCOVERY

2021
Essential Delta Comprehensive

FEDHEALTH

2021
FlexiFed 4 GRID

MEDIHELP

2021
Prime 3 Network

MOMENTUM

2021
Incentive – Associated Hospital, Associated Chronic

2 visits

Fillings

X-rays

Extractions

Scale and polish etc.

1 set plastic dentures

 

(every 4 yrs). Benefits per beneficiary. Subject to
*DENIS protocols

Subject to Preventative Dentistry or Savings first, then limit of

M=R4,131 | M1+R8,384.

Subject to overall day-to-day limit

Subject to available Savings. Unlimited at Scheme Tariff after Threshold is reached

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

MEDIUM-LOW COVER 1

BONITAS

2021
BonSave

BESTMED

2021
Beat 3

DISCOVERY

2021
Classic Saver, Coastal Saver & Classic Delta Saver

FEDHEALTH

2021
Unify

MEDIHELP

2021
Prime 3 (Network)

MOMENTUM

2021
Incentive – Any Hospital, Associated Chronic

Subject to available Savings

2 visits
Fillings
X-rays
Extractions
scale and polish etc.

Benefits per beneficiary. Subject to *DENIS protocols

Subject to available Savings

Subject to Savings/ Wallet or self-funded. Once Benefit Maximizer Threshold Level is reached, basic dental benefits are available

Subject to Savings

Subject to Savings, if available

MEDIUM-LOW COVER 2

BONITAS

2021
Primary

BESTMED

2021
Beat 2

DISCOVERY

2021
Essential Saver

FEDHEALTH

2021
FlexiFed 2 Any Hospital

MEDIHELP

2021
Prime 2

MOMENTUM

2021
Incentive – Any Hospital, Associated Chronic

Benefits per beneficiary

2 visits

Fillings

X-rays

Extractions

Scale and polish etc.

1 set plastic dentures (every 4 yrs).

Subject to *DENIS protocols

Preventative Dentistry paid from Risk.

All other subject to Savings

Subject to available Savings

Subject to Savings/ Wallet or self-funded. Once Benefit Maximizer Threshold Level is reached, basic dental benefits are available

Subject to Savings

Subject to Savings, if available

MEDIUM-LOW COVER 3

BONITAS

2021
Primary Select

BESTMED

2021
Beat 2 Network

DISCOVERY

2021
Essential Delta Saver

FEDHEALTH

2021
FlexiFed 2 GRID

MEDIHELP

2021
Prime 2 Network

MOMENTUM

2021
Incentive – Associated Hospital, Associated Chronic

Benefits per beneficiary

2 visits

Fillings

X-rays

Extractions

Scale and polish etc.

1 set plastic dentures (every 4 yrs).

Subject to *DENIS protocols

Preventative Dentistry paid from Risk.

All other subject to Savings

Subject to available Savings

Subject to Savings/ Wallet or self-funded. Once Benefit Maximizer Threshold Level is reached, basic dental benefits are available

Subject to Savings

Subject to Savings, if available

MEDIUM-LOW COVER 4

BONITAS

2021
BonFit Select

BESTMED

2021
Beat 3 Network

DISCOVERY

2021
Essential Delta Saver

FEDHEALTH

2021
FlexiFed 3 GRID

MEDIHELP

2021
Prime 2 Network

MOMENTUM

2021
Incentive – Associated Hospital, Associated Chronic

Benefits per beneficiary

 

2 visits

extractions

scale and polish etc.

 

Subject to *DENIS protocols

Preventative Dentistry paid from Risk. All other subject to Savings

Subject to available Savings

Subject to Savings/ Wallet or self-funded. Once Benefit Maximizer Threshold Level is reached, basic dental benefits are available

Subject to Savings

Subject to Savings, if available

HOSPITAL COVER 1

BONITAS

2021
Hospital Standard

BESTMED

2021
Beat 1

DISCOVERY

2021
Essential Core

FEDHEALTH

MEDIHELP

MOMENTUM

2021
Custom – Any Hospital, Associated Chronic

No Benefit

No Benefit

No Benefit

No Benefit

No Benefit

Subject to Health Saver, if available

HOSPITAL COVER 2 

BONITAS

2021
Bon-Essential

BESTMED

2021
Beat 1

DISCOVERY

2021
Essential Core

FEDHEALTH

MEDIHELP

Custom – Any Hospital, Associated Chronic

MOMENTUM

2021
Prime

No Benefit

No Benefit

No Benefit

No Benefit

No Benefit

Subject to Health Saver, if available

HOSPITAL COVER 3

BONITAS

2021
Bon-Essential Select

BESTMED

2021
Beat 1 Network

DISCOVERY

2021
Essential Delta Core & Coastal Core

FEDHEALTH

FlexiFed 1 Network Hospitals

MEDIHELP

Custom – Associated Hospital, Associated Chronic

MOMENTUM

2021
Prime 1 Network

No Benefit

No Benefit

No Benefit

Subject to Savings/ Wallet or self-funded. Once Benefit Maximizer Threshold Level is reached, preventative dental benefits are available

No Benefit

Subject to Health Saver, if available

Primary Care Network

BONITAS

2021
BonCap

BESTMED

2021
Pulse 1

DISCOVERY

2021
KeyCare Plus

FEDHEALTH

MyFed

MEDIHELP

Ingwe Network

MOMENTUM

2021
Necesse Network

1 Visit

4 Fillings

4 X-rays

Extractions

1 Scale and polish etc.

Subject to pre-auth and *DENIS protocols

Subject to Bestmed Pulse Dental Network

Consultations, fillings, extractions covered through Dentist Network. Certain rules and limits may apply

Subject to contracted dentists, limited to list of approved procedures, e.g. fillings, extractions, scale & polish, 1 set of plastic dentures per beneficiary every 2 years

Benefits pbpa and subject to *DRC protocols, e.g. 1 routine checkup, 1 oral hygiene visit (children under age 16 only), 4 fillings, 2 root-canal treatments, extractions, plastic dentures (20% co-pay applies), procedures under anaesthetic – pre-auth required

Examination, fillings & x-rays covered as per list of tariff codes. 1 visit pbpa. Pre-authorisation is required if more than 4 fillings and extractions is required