(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 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