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