You have access to dental treatment with a range of different healthcare providers who provide dental and dental-related services.
Please select a plan series
Cover for basic dental treatment
What we pay for
We pay for basic dental treatment done in the dentist's or dental specialist's rooms at 100% of the Discovery Health Rate from your available day-to-day benefits (Medical Savings Account and Above Threshold Benefit).
There is no overall limit for basic dental treatment. You also have cover for:
We pay all dental appliances and their placement, as well as orthodontic treatment (including related accounts for orthognathic surgery) at 100% of the Discovery Health Rate
Up to 300% of the Discovery Health Rate for anaesthetists and specialists
We pay dental appliances and orthodontic treatment claims up to a yearly limit of R30 750 a person. If you join the Scheme after January, you will have a lower limit because we calculate the limit by counting the remaining months in the year
If your MSA runs out
If you have run out of money in your Medical Savings Account and have not yet reached your Annual Threshold you will need to pay these accounts.
This is not a separate benefit, limits apply to claims paid from:
- Your Medical Savings Account
- By you (if you are in a Self-payment Gap)
- Your Above Threshold Benefit
In hospital dental cover
Except where approved for severe dental and oral surgery, you need to pay a portion of your hospital or day clinic account upfront for dental admissions. This amount varies, depending on your age and the place of treatment. We pay:
The balance of the hospital account from your Hospital Benefit, up to 100% of the Discovery Health Rate (DHR)
Related accounts from your Hospital Benefit up to 100% of the DHR
Specialists up to 300% of the DHR
For members who are 13 years old or older, we cover routine conservative dentistry, such as preventive treatment, simple fillings and root canal treatment from your available day-to-day benefits.
Upfront payment for dental admissions:
Members
Younger than 13 years
13 years or older
Hospital
R2 850
R7 350
Day Clinic
R1 300
R4 700
Basic Dental Trauma Benefit
The Basic Dental Trauma Benefit covers sudden and unanticipated injury to teeth and mouth that requires urgent dental treatment after an accident or trauma injury. Where the clinical entry criteria is met, cover for dental appliances and prostheses and the placement thereof are paid up to an annual limit of R58 000 per person per year.
Severe dental treatment cover
The Severe Dental and Oral Surgery Benefit covers a defined list of procedures, with no upfront payment and no overall limit. This benefit is subject to authorisation and the Scheme's rules. You must preauthorise your admission to hospital at least 48 hours before you go in by calling 0860 99 88 77.
Cover for basic dental treatment
What we pay for
We pay for basic dental treatment done in the dentist's or dental specialist's rooms at 100% of the Discovery Health Rate from your available day-to-day benefits (Medical Savings Account and Above Threshold Benefit).
On Classic Smart Comprehensive plan you also have cover for one defined dental check-up at any dentist, dental therapist or oral hygienist with an fixed upfront payment of R115 for the check-up.
There is no overall limit for basic dental treatment. You also have cover for:
We pay all dental appliances and their placement, as well as orthodontic treatment (including related accounts for orthognathic surgery) at 100% of the Discovery Health Rate
Up to 200% of the Discovery Health Rate for anaesthetists on Classic plans
We pay your dental appliance and orthodontic claims up to a yearly limit of R30 750 a person. If you join the Scheme after January, you will have a lower limit because we calculate the limit by counting the remaining months in the year. On Classic Smart Comprehensive these benefits apply once the Annual Threshold is reached.
If your MSA runs out
If you have run out of money in your Medical Savings Account and have not yet reached your Annual Threshold you will need to pay these accounts.
This is not a separate benefit, limits apply to claims paid from:
- Your Medical Savings Account
- By you (if you are in a Self-payment Gap)
- Your Above Threshold Benefit
In hospital dental cover
Except where approved for severe dental and oral surgery, you need to pay part of your hospital or day-clinic account for dental admissions upfront (also called a deductible). This amount varies, depending on your age and the place of treatment. We pay:
The balance of the hospital account from your Hospital Benefit, up to 100% of the Discovery Health Rate (DHR)
Related accounts, which include the dental surgeon's account, from your Hospital Benefit up to 100% of the DHR
Anaesthetists up to 200% of the DHR on Classic plans and up to 100% of the DHR on Essential plans
For members who are 13 years old or older, we cover routine conservative dentistry, such as preventive treatment, simple fillings and root canal treatment from your available day-to-day benefits.
Upfront payment for dental admissions:
Members
Younger than 13 years
13 years or older
Hospital
R2 850
R7 350
Day Clinic
R1 300
R4 700
Basic Dental Trauma Benefit
The Basic Dental Trauma Benefit covers sudden and unanticipated injury to teeth and mouth that requires urgent dental treatment after an accident or trauma injury. Where the clinical entry criteria is met, cover for dental appliances and prostheses and the placement thereof are paid up to an annual limit of R58 000 per person per year.
Severe dental treatment cover
The Severe Dental and Oral Surgery Benefit covers a defined list of procedures, with no upfront payment and no overall limit. This benefit is subject to authorisation and the Scheme's rules. You must preauthorise your admission to hospital at least 48 hours before you go in by calling 0860 99 88 77.
If you are on the Classic Delta Comprehensive or Essential Delta Comprehensive plans, you need to use a hospital in the Delta Network. If you are on the Classic Smart Comprehensive plan, you need to use a hospital in the Smart Network.
Cover for basic dental treatment
What we pay for
We pay for basic dental treatment done in the dentist's or dental specialist's rooms at 100% of the Discovery Health Rate from your available day-to-day benefits (Medical Savings Account and limited Above Threshold Benefit).
There is no overall limit for basic dental treatment. You also have cover for:
We pay all dental appliances and their placement as well as orthodontic treatment (including related accounts for orthognathic surgery) 100% of the Discovery Health Rate
Up to 200% of the Discovery Health Rate for anaesthetists on the Classic Plan
We pay your dental appliance and orthodontic claims up to a yearly limit of R19 150 a person. If you join the Scheme after January, you will have a lower limit because we calculate the limit by counting the remaining months in the year
If your MSA runs out
If you have run out of money in your Medical Savings Account and have not yet reached your Annual Threshold you will need to pay these accounts.
This is not a separate benefit, limits apply to claims paid from:
- Your Medical Savings Account
- By you (if you are in a Self-payment Gap)
- Your Above Threshold Benefit
In hospital dental cover
Except where approved for severe dental and oral surgery, you need to pay a portion of your hospital or day clinic account upfront for dental admissions. This amount varies, depending on your age and the place of treatment. We pay:
The balance of the hospital account from your Hospital Benefit, up to 100% of the Discovery Health Rate (DHR)
Related accounts, which include the dental surgeon's account, from your Hospital Benefit up to 100% of the DHR
Anaesthetists up to 200% of the DHR on Classic plans and up to 100% of the DHR on Essential plans
For members who are 13 years old or older, we cover routine conservative dentistry, such as preventive treatment, simple fillings and root canal treatment from your available day-to-day benefits.
Upfront payment for dental admissions:
Members
Younger than 13 years
13 years or older
Hospital
R2 850
R7 350
Day Clinic
R1 300
R4 700
Basic Dental Trauma Benefit
The Basic Dental Trauma Benefit covers sudden and unanticipated injury to teeth and mouth that requires urgent dental treatment after an accident or trauma injury. Where the clinical entry criteria is met, cover for dental appliances and prostheses and the placement thereof are paid up to an annual limit of R58 000 per person per year.
Severe dental treatment cover
The Severe Dental and Oral Surgery Benefit covers a defined list of procedures, with no upfront payment and no overall limit. This benefit is subject to authorisation and the Scheme's rules. Certain procedures are covered in our day surgery network. You must preauthorise your admission to hospital at least 48 hours before you go in by calling 0860 99 88 77.
Cover for basic dental treatment
What we pay for
We pay for basic dental treatment done in the dentist's or dental specialist's rooms from your available day-to-day benefits (Medical Savings Account) at 100% of the Discovery Health Rate.
There is no overall limit for basic dental treatment. You also have cover for:
We pay all dental appliances and their placement as well as orthodontic treatment (including related accounts for orthognathic surgery) at 100% of the Discovery Health Rate from your available Medical Savings Account.
If you don't have available day-to-day benefits, you will need to pay the dentist's and dental specialist's account.
In hospital dental cover
Except where approved for severe dental and oral surgery, you need to pay a portion of your hospital or day clinic account upfront for dental admissions. This amount varies, depending on your age and the place of treatment. We pay:
The balance of the hospital account from your Hospital Benefit, up to 100% of the Discovery Health Rate (DHR)
Related accounts, which include the dental surgeon's account, from your Hospital Benefit up to 100% of the DHR
Anaesthetists up to 200% of the DHR on Classic plans and up to 100% of the DHR on Essential plans
For members who are 13 years old or older, we cover routine conservative dentistry, such as preventive treatment, simple fillings and root canal treatment from your available day-to-day benefits.
Upfront payment for dental admissions:
Members
Younger than 13 years
13 years or older
Hospital
R2 850
R7 350
Day Clinic
R1 300
R4 700
Basic Dental Trauma Benefit
The Basic Dental Trauma Benefit covers sudden and unanticipated injury to teeth and mouth that requires urgent dental treatment after an accident or trauma injury. Where the clinical entry criteria is met, cover for dental appliances and prostheses and the placement thereof are paid up to an annual limit of R58 000 per person per year.
Severe dental treatment cover
The Severe Dental and Oral Surgery Benefit covers a defined list of procedures, with no upfront payment and no overall limit. This benefit is subject to authorisation and the Scheme's rules. Certain procedures are covered in our day surgery network. You must preauthorise your admission to hospital at least 48 hours before you go in by calling 0860 99 88 77.
If you are on the Classic Delta Saver or Essential Delta Saver plans, you need to use a hospital in the Delta Network. If you are on a Coastal Saver plan, you need to use a private hospital in the four coastal provinces approved by the scheme.
Cover for basic dental treatment
What we pay for
Your health plan does not cover day-to-day medical costs, you will have to pay for these dental treatment costs.
You have to pay the cost of all dental appliances and their placements as well as orthodontic treatment (including the related accounts for orthognathic surgery).
In hospital dental cover
Except where approved for severe dental and oral surgery, you need to pay a portion of your hospital or day clinic account upfront for dental admissions. This amount varies, depending on your age and the place of treatment. We pay:
The balance of the hospital account from your Hospital Benefit, up to 100% of the Discovery Health Rate (DHR)
Related accounts, which include the dental surgeon's account, from your Hospital Benefit up to 100% of the DHR
Anaesthetists up to 200% of the DHR on Classic plans and up to 100% of the DHR on Essential plans
Upfront payment for dental admissions:
Members
Younger than 13 years
13 years or older
Hospital
R2 850
R7 350
Day Clinic
R1 300
R4 700
Basic Dental Trauma Benefit
The Basic Dental Trauma Benefit covers sudden and unanticipated injury to teeth and mouth that requires urgent dental treatment after an accident or trauma injury. Where the clinical entry criteria is met, cover for dental appliances and prostheses and the placement thereof are paid up to an annual limit of R58 000 per person per year.
Severe dental treatment cover
The Severe Dental and Oral Surgery Benefit covers a defined list of procedures, with no upfront payment and no overall limit. This benefit is subject to authorisation and the Scheme's rules. Certain procedures are covered in our day surgery network. You must preauthorise your admission to hospital at least 48 hours before you go in by calling 0860 99 88 77.
If you are on the Classic Delta Core or Essential Delta Core plans, you need to use a hospital in the Delta Network. If you are on a Coastal Core plan, you need to use a private hospital in the four coastal provinces approved by the Scheme.
Cover for basic dental treatment
What we pay for
You have cover for one defined dental check-up at any dentist, dental therapist or oral hygienist with a fixed upfront payment for the check-up.
You have to pay the cost of all dental appliances and their placements as well as orthodontic treatment (including the related accounts for orthognathic surgery). You must pay an upfront payment of R115 on the Classic plan and R170 on the Essential plan for your dental check-up. The balance will be covered up to 100% of the Discovery Health Rate.
In hospital dental cover
On the Classic Plan, except where approved for severe dental and oral surgery, you need to pay a portion of your hospital or day clinic account upfront for dental admissions. This amount varies, depending on your age and the place of treatment. We do not cover in-hospital dental treatment on the Essential Smart Plan. We pay:
The balance of the hospital account from your Hospital Benefit, up to 100% of the Discovery Health Rate (DHR)
Related accounts, which include the dental surgeon's account, from your Hospital Benefit up to 100% of the DHR
Anaesthetists up to 200% of the DHR on the Classic plan
For members who are 13 years old or older, you must pay for routine conservative dentistry, such as preventive treatment, simple fillings and root canal treatment.
Upfront payment for dental admissions:
Members
Younger than 13 years
13 years or older
Hospital
R2 850
R7 350
Day Clinic
R1 300
R4 700
Basic Dental Trauma Benefit on the Classic Smart Plan
The Basic Dental Trauma Benefit covers sudden and unanticipated injury to teeth and mouth that requires urgent dental treatment after an accident or trauma injury. Where the clinical entry criteria is met, cover for dental appliances and prostheses and the placement thereof are paid up to an annual limit of R58 000 per person per year. This benefit is not available on the Essential Smart Plan.
Severe dental treatment cover
The Severe Dental and Oral Surgery Benefit covers a defined list of procedures, with no upfront payment and no overall limit. This benefit is subject to authorisation and the Scheme's rules. Certain procedures are covered in our day surgery network. You must preauthorise your admission to hospital at least 48 hours before you go in by calling 0860 99 88 77.
You need to use a hospital in the Smart Network.
Cover for basic dental treatment
What we pay for
We cover consultations, fillings and tooth removals at a dentist in our dentist network. Certain rules and limits may apply.
You are responsible for paying the cost of all dental appliances and their placements as well as orthodontic treatment (including the related accounts for orthognathic surgery).
In hospital dental cover
We do not cover in-hospital dental treatment on KeyCare plans.
KeyCare Plus and Core
For planned hospital admissions:
You have full cover for the hospital account in the Full Cover Hospital Network. You have cover for up to 70% of the Discovery Health Rate in the Partial Cover Hospital Network. If the admission is a Prescribed Minimum Benefit, we will pay 80% of the Discovery Health Rate (DHR). If you use a hospital outside the network, you will have to pay these costs
KeyCare Start
For planned hospital admissions, you are covered in full at your chosen KeyCare Start Network hospital. If you use a hospital outside the network, you will have to pay these costs from your pocket.