2020 Benefit:
Basic Dentistry:
Consultations, fillings, extractions, scaling and polishing.
Paid at the Fund’s tariff rate from your MSA.
Basic dentistry procedures in hospital – removal of teeth and multiple fillings for children 7 years and younger:
Paid at the Fund’s tariff rate, subject to pre-authorisation, the dentist will be paid from your available MSA.
Specialised Dentistry:
Dentures, crowns, bridges and orthodontic treatment:
Paid at the Fund’s tariff rate from your MSA.
Specialised dentistry procedures in and out of hospital – dental implants and removal of impacted wisdom teeth:
Paid at the Fund’s tariff rate, subject to pre-authorisation and limited to R14 700 per beneficiary per year.
Maxillofacial treatment:
Paid at the Fund’s tariff rate, subject to pre-authorisation.
2021 Benefit:
Basic Dentistry:
Consultations, fillings, extractions, scaling and polishing.
Paid at the Fund’s tariff rate from your MSA.
Basic dentistry procedures in hospital – removal of teeth and multiple fillings for children 7 years and younger:
Paid at the Fund’s tariff rate, subject to pre-authorisation, the dentist will be paid from your available MSA.
Specialised Dentistry:
Dentures, crowns, bridges and orthodontic treatment:
Paid at the Fund’s tariff rate from your MSA.
Specialised dentistry procedures in and out of hospital – dental implants and removal of impacted wisdom teeth:
Paid at the Fund’s tariff rate, subject to pre-authorisation and limited to R15 200 per beneficiary per year.
Maxillofacial treatment:
Paid at the Fund’s tariff rate, subject to pre-authorisation.