Specialised/Advanced 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 ATB. Implants (limited to 2 pb every 5 years, R2,884 per implant), In-hospital dentistry. Co-pay of R3,500 per admission. Subject to *DENIS protocols

Subject to Savings first, then Basic Dentistry limit

Subject to available Savings and Threshold. DEB limit for Dental devices, appliances and orthodontic treatment of R30,750 per beneficiary before and after threshold

Subject to Savings and Threshold. Limited to R7,960 per beneficiary and R23,780 per family before and after Threshold

Plastic/Metal frame dentures, Crowns & Bridges: 3 pfpa, Orthodontic treatment: R15,270 pb per lifetime (Refer to member guide for full details)

Subject to available Savings & Threshold (Extender Cover limit of R14,000 pb and R36,600 pf. Both in & out of hospital dental specialist accounts accumulate to Threshold)

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 R5,960 pfpa. 1 partial frame (upper or lower) per beneficiary (every 5 yrs). 1 crown per family. Orthodonic treatment is granted once pbp lifetime (aged 9 to 18yrs). In-hospital dentistry and maxillo facial surgery in dental chair. Co-pay of R5,000 per admission. Subject to *DENIS protocols

Subject to Savings first, then Basic Dentistry limit

Subject to available Savings and Threshold. DEB limit for Dental devices, appliances and orthodontic treatment of R30,750 per beneficiary before and after threshold

Plastic/Metal frame dentures, Crowns & Bridges: 2 pfpa, Orthodontic treatment: R12,260 pb per lifetime (Refer to member guide for full details)

Subject to available Savings & Threshold (Extender Cover limit of R14,000 pb and R36,600 pf. Both in & out of hospital dental specialist accounts accumulate to Threshold)

MEDIUM-HIGH LEVEL 1 COVER

BONITAS

2021
BonComplete

BESTMED

2021
Pace 1

DISCOVERY

2021
Classic Priority

FEDHEALTH

MEDIHELP

MOMENTUM

1 partial frame (upper or lower) per beneficiary (every 5 yrs). 1 crown per family. Orthodontic treatment is granted once per beneficiary per lifetime. In-hospital dentistry and maxillo facial surgery in dental chair.
Co-pay of R5,000 per admission. Subject to
*DENIS protocols

Subject to Savings first, then Basic Dentistry limit

Subject to available Savings and Threshold. DEB limit for Dental devices, appliances and orthodontic treatment of R19,150 per beneficiary before and after threshold

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

1 partial frame (upper or lower) per beneficiary (every 5 yrs). 1 crown per family. Orthodontic treatment is granted once per beneficiary per lifetime. In-hospital dentistry and maxillo facial surgery in dental chair.
Co-pay of R5,000 per admission. Subject to
*DENIS protocols

Subject to Savings first, then Basic Dentistry limit

Subject to available Savings and Threshold. DEB limit limit for Dental devices, appliances and orthodontic treatment of R19,150 per beneficiary before and after threshold

Subject to Savings/ Wallet or self-funded and Threshold. Limited to R7,960 per beneficiary and R23,780 per family before and after Threshold

Plastic/Metal frame dentures, Crowns & Bridges: 1 pfpa, Orthodontic treatment: R9,350 pb per lifetime (Refer to member guide for full details)

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

1 partial frame (upper or lower) per beneficiary (every 5 yrs). 1 crown per family. Orthodonic treatment is granted once per beneficiary per lifetime. In-hospital dentistry and maxillo facial surgery in dental chair.
Co-pay of R5,000 per admission. Subject to
*DENIS protocols

Subject to Savings first, then Basic Dentistry limit

Subject to available Savings and Threshold. DEB limit for Dental devices, appliances and orthodontic treatment of R30,750 per beneficiary before and after threshold

Subject to Savings/ Wallet or self-funded and Threshold. Limited to R7,960 per beneficiary and R23,780 per family before and after Threshold

Plastic/Metal frame dentures, Crowns & Bridges: 1 pfpa, Orthodontic treatment: R9,350 pb per lifetime (Refer to member guide for full details)

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

In-hospital subject to PMB and *DENIS protocols

Subject to Savings

Subject to available Savings

Subject to Savings/ Wallet or self-funded

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

In-hospital dentistry and maxillo facial surgery in dental chair. Co-pay of R5,000 per admission. Subject to *DENIS protocols

Subject to Savings

Subject to available Savings

Subject to Savings/ Wallet or self-funded

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

In-hospital dentistry and maxillo facial surgery in dental chair. Co-pay of R5,000 per admission. Subject to *DENIS protocols

Subject to Savings

Subject to available Savings

Subject to Savings/ Wallet or self-funded

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

In-hospital subject to PMB and *DENIS protocols

Subject to Savings

Subject to available Savings

Subject to Savings/ Wallet or self-funded

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

In-hospital dentistry and maxillo facial surgery in dental chair. Co-pay of R5,000 per admission. Subject to *DENIS protocols

No Benefit

No Benefit – See Dental

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

In-hospital subject to PMB and *DENIS protocols

No Benefit

No Benefit – See Dental

No Benefits

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

In-hospital subject to PMB and *DENIS protocols

No Benefit

No Benefit – See Dental

Subject to Savings/ Wallet or self-funded

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

No Benefit

No Benefit

No Benefit

No Benefit

No Benefit

No Benefit