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 Savings first, then Basic Dentistry limit
Subject to Savings and ATB. Implants (limited to 2 pb every 5 years, R3,387 per implant), 2partial frames (upper and lower) per beneficiary (every 5 yrs). 3 crowns per family. Orthodonic treatment is granted once per beneficiary per lifetime (100% of Dental Tariff). In-hospital dentistry. Subject to *DENIS protocols
Subject to available Savings and Threshold.
DEB limit for Dental devices, appliances and orthodontic treatment of R34,500 per beneficiary before and after threshold
Subject to Savings and Threshold. Limited to R8,270 pbpa and R24,700 pfpa before and after Threshold
Plastic/Metal frame dentures, Crowns & Bridges: 3 pfpa, Orthodontic treatment:
R17,340 pb per lifetime (Refer to member guide for full details)
Subject to available Savings & Threshold (Extender Cover limit of R16,400 pb and R42,600 pf. Both in & out of hospital dental specialist accounts accumulate to Threshold)
Subject to Basic Dentistry limit and dental tariff.
Orthodontic treatment: up to 18yrs. Subject to pre-auth
Comprehensive
(High Cover)
BESTMED
Pace 2
BONITAS
BonClassic
DISCOVERY
-
FEDHEALTH
-
MEDIHELP
MedElite
MOMENTUM
Extender
(Associated Hospital,
Any Chronic)
PROFMED
-
Subject to Savings first, then Basic Dentistry limit
Limit of R6,997 pfpa, 2 Partial frames (upper and lower) per beneficiary (every 5 yrs). 1
crown per family. Orthodonic treatment is granted once pbp lifetime (100% of Dental Tariff). In-hospital dentistry and maxillo facial surgery in dental chair. R3,500 co-pay (children under 5yrs) and R5,000 co-pay all other admissions. Subject to *DENIS protocols
–
–
Plastic/Metal frame dentures, Crowns & Bridges: 2 pfpa, Orthodontic treatment:
R13,900 pb per lifetime (Refer to member guide for full details)
Subject to available Savings & Threshold (Extender Cover limit of R16,400 pb and R42,600 pf. Both in & out of hospital dental specialist accounts accumulate to Threshold)
–
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 Savings first, then Basic Dentistry limit
Partial frame (upper or lower) per beneficiary (every 5 yrs). 1 crown per family. Orthodonic treatment is granted once per
beneficiary per lifetime (up to 65% of Dental Tariff). In-hospital dentistry and maxillo facial surgery in dental chair. R3,500 co-pay (children under 5yrs) and R5,000 co-pay all
other admissions. Subject to *DENIS protocols
Subject to available Savings and Threshold.
DEB limit limit for Dental devices, appliances and orthodontic treatment of R20,300 per beneficiary before and after threshold
–
Plastic/Metal frame dentures, Crowns & Bridges: 1 pfpa, Orthodontic treatment:
R10,630 pb per lifetime (Refer to member guide for full details)
Subject to Savings, if available
Subject to Basic Dentistry limit and dental tariff.
Orthodontic treatment: up to 18yrs. Subject to pre-auth
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
–
1 Partial frame (upper or lower) per beneficiary (every 5 yrs). 1 crown per family. Orthodonic treatment is granted once per
beneficiary per lifetime (up to 80% of Dental Tariff). In-hospital dentistry and maxillo facial surgery in dental chair. R3,500 co-pay (children under 5yrs) and R5,000 co-pay all
other admissions. Subject to *DENIS protocols
Subject to available Savings and Threshold.
DEB limit limit for Dental devices, appliances and orthodontic treatment of R20,300 per beneficiary before and after threshold
Subject to Savings or self-funded and Threshold. Limited to R8,270 pbpa and R24,700 pfpa before and after Threshold
Plastic/Metal frame dentures, Crowns & Bridges: 1 pfpa, Orthodontic treatment:
R10,630 pb per lifetime (Refer to member guide for full details)
Subject to Savings, if available
Subject to Basic Dentistry limit and dental tariff.
Orthodontic treatment: up to 18yrs. Subject to pre-auth
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)
–
1 Partial frame (upper or lower) per beneficiary (every 5 yrs). 1 crown per family. Orthodonic treatment is granted once per
beneficiary per lifetime (up to 80% of Dental Tariff). In-hospital dentistry and maxillo facial surgery in dental chair. R3,500 co-pay (children under 5yrs) and R5,000 co-pay all
other admissions. Subject to *DENIS protocols
Subject to available Savings and Threshold.
DEB limit limit for Dental devices, appliances and orthodontic treatment of R20,300 per beneficiary before and after threshold
Subject to Savings or self-funded and Threshold. Limited to R8,270 pbpa and R24,700 pfpa before and after Threshold
Plastic/Metal frame dentures, Crowns & Bridges: 1 pfpa, Orthodontic treatment:
R10,630 pb per lifetime (Refer to member guide for full details)
Subject to Savings, if available
Subject to Basic Dentistry limit and dental tariff.
Orthodontic treatment: up to 18yrs. Subject to pre-auth
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
-
Subject to Savings
In-hospital subject to PMB and *DENIS protocols
Removal of impacted teeth only, with R5,000 co-payment
Subject to available Savings
Subject to Savings/ Wallet or self-funded
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
Subject to Savings
In-hospital dentistry and maxillo facial surgery in dental chair. R3,500 co-pay (children under 5yrs) and R5,000 co-pay all other admissions. Subject to *DENIS protocols
Subject to available Savings
Subject to Savings/ Wallet or self-funded
Subject to Savings
Subject to Savings, if available
Subject to day-to-day limit and dental tariff.
Orthodontic treatment: up to 18yrs. Subject to pre-auth
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)
Subject to Savings
In-hospital dentistry and maxillo facial surgery in dental chair. R3,500 co-pay (children under 5yrs) and R5,000 co-pay all other admissions. Subject to *DENIS protocols
Subject to available Savings
Subject to Savings/ Wallet or self-funded
Subject to Savings
Subject to Savings, if available
Subject to day-to-day limit and dental tariff.
Orthodontic treatment: up to 18yrs. Subject to pre-auth
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)
–
In-hospital subject to PMB and *DENIS protocols
Subject to available Savings
Subject to Savings/ Wallet or self-funded
Subject to Savings
Subject to Savings, if available
Subject to day-to-day limit and dental tariff.
Orthodontic treatment: up to 18yrs. Subject to pre-auth
Capitation
(Low Cover)
BESTMED
-
BONITAS
BonStart Plus
(Network)
DISCOVERY
Classic Smart
(Network)
FEDHEALTH
-
MEDIHELP
-
MOMENTUM
Evolve
(Network)
PROFMED
-
–
No Benefit
No Benefit – See Dental
–
–
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
-
–
No Benefit
No Benefit – See Dental
–
No Benefit
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 – see Dental
–
–
–
–
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 – see Dental
Subject to Savings/ Wallet or self-funded
Removal of impacted teeth in the dentists chair
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 – See Dental
Subject to Savings/ Wallet or self-funded
No Benefit
Subject to Health Saver, if available
Subject to Basic Dentistry limit and PPS Wallet, if available
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
-
No Benefit
No Benefit
No Benefit
Subject to Savings or self-funded
No Benefit
No Benefit
–