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