(Consultations, Oral hygiene, Extractions & Fillings)

Comprehensive

(High Cover)

BESTMED

Pace 3

BONITAS

Bon
Comprehensive

DISCOVERY

Classic Comprehensive

FEDHEALTH

Maxima Exec

MEDIHELP

MedPlus

MOMENTUM

Extender
(Any Hospital,
Any Chronic)

PROFMED

ProPinnacle

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)

BESTMED

Pace 2

BONITAS

BonClassic

DISCOVERY

-

FEDHEALTH

-

MEDIHELP

MedElite

MOMENTUM

Extender
(Associated Hospital,
Any Chronic)

PROFMED

-

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

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)

Comprehensive

(Medium to High Cover)

BESTMED

Pace 1

BONITAS

BonComplete

DISCOVERY

Classic Priority

FEDHEALTH

-

MEDIHELP

MedPrime

MOMENTUM

Incentive
(Any Hospital,
Any Chronic + Health Saver)

PROFMED

ProSecure Plus

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)

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)

BESTMED

-

BONITAS

Standard

DISCOVERY

Classic Priority

FEDHEALTH

FlexiFed 4
(Any Hospital)

MEDIHELP

MedPrime

MOMENTUM

Incentive
(Associated Hospital,
Associated Chronic)

PROFMED

ProSecure

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)

BESTMED

-

BONITAS

Standard Select
(Network)

DISCOVERY

Essential Priority

FEDHEALTH

FlexiFed 4
(GRID)

MEDIHELP

MedPrime Elect
(Network)

MOMENTUM

Incentive
(Associated Hospital,
Associated Chronic)

PROFMED

ProSecure Savvy
(Network)

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)

BESTMED

Beat 3
(Network)

BONITAS

BonSave

DISCOVERY

Classic Delta Saver
(Network)

FEDHEALTH

FlexiFed 3
(GRID)

MEDIHELP

MedSaver

MOMENTUM

Incentive
(Any Hospital,
Associated Chronic)

PROFMED

-

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)

BESTMED

Beat 2

BONITAS

Primary

DISCOVERY

Essential Saver

FEDHEALTH

FlexiFed 2
(Any Hospital)

MEDIHELP

MedElect
(Network)

MOMENTUM

Incentive
(Associated Hospital,
Associated Chronic)

PROFMED

ProActive Plus

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)

BESTMED

Beat 2
(Network)

BONITAS

Primary Select
(Network)

DISCOVERY

Essential Delta Saver
(Network)

FEDHEALTH

FlexiFed 2
(GRID)

MEDIHELP

MedAdd Elect
(Network)

MOMENTUM

Incentive
(Associated Hospital,
Associated Chronic)

PROFMED

ProActive Plus Savvy
(Network)

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)

BESTMED

-

BONITAS

BonFit Select

DISCOVERY

Essential Delta Saver

FEDHEALTH

FlexiFed 2
(GRID)

MEDIHELP

MedAdd Elect
(Network)

MOMENTUM

Incentive
(Associated Hospital,
Associated Chronic)

PROFMED

ProActive Plus Savvy
(Network)

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)

BESTMED

-

BONITAS

BonStart Plus
(Network)

DISCOVERY

Classic Smart
(Network)

FEDHEALTH

-

MEDIHELP

-

MOMENTUM

Evolve
(Network)

PROFMED

-

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

Subject to Health Saver, if available

Capitation

(Low Cover)

BESTMED

-

BONITAS

BonStart
(Network)

DISCOVERY

Essential Smart
(Network)

FEDHEALTH

-

MEDIHELP

MedMove
(Network)

MOMENTUM

Evolve
(Network)

PROFMED

-

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)

BESTMED

-

BONITAS

Hospital Standard

DISCOVERY

Classic Core

FEDHEALTH

-

MEDIHELP

-

MOMENTUM

-

PROFMED

-

No Benefit

No Benefit

Hospital Plan

(Hospitalization Cover)

BESTMED

Beat 1

BONITAS

BonEssential

DISCOVERY

Essential Core

FEDHEALTH

FlexiFed 1
(Network)
No Medivault

MEDIHELP

MediVital

MOMENTUM

Custom
(Any Hospital,
Associated Chronic)

PROFMED

-

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)

BESTMED

Beat 1
(Network)

BONITAS

BonEssential Select
(Network)

DISCOVERY

Essential Delta Core
(Network)

FEDHEALTH

FlexiFed 1 Elect
(Network)
No Medivault

MEDIHELP

MediVital Elect
(Network)

MOMENTUM

Custom
(Associated Hospital,
Associated Chronic)

PROFMED

ProSelect Savvy
(Network)

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)

BESTMED

Rhythm 1
(Network)

BONITAS

BonCap
(Network)

DISCOVERY

KeyCare Plus
(Network)

FEDHEALTH

FlexiFed Savvy
(Network)

MEDIHELP

MedElect Student
(Network)

MOMENTUM

Ingwe
(Network)

PROFMED

-

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