Dental Treatment

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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 R29 850 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

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 400

R6 200

Day Clinic

R1 100

R4 000

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 R110 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 R29 850 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

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 400

R6 200

Day Clinic

R1 100

R4 000

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 R18 600 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

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 400

R6 200

Day Clinic

R1 100

R4 000

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 day-to-day benefits (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

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 400

R6 200

Day Clinic

R1 100

R4 000

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

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 400

R6 200

Day Clinic

R1 100

R4 000

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 R110 on the Classic plan and R165 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 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 400

R6 200

Day Clinic

R1 100

R4 000

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

On KeyCare Plus and KeyCare Start plans, 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.

Severe dental treatment cover

The Severe Dental and Oral Surgery Benefit covers a defined list of procedures, with no upfront payment (deductible) 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

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 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.

 
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