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Suremed Navigator:
dentistry, optometry and wellness (2024)

This page has information on: Costs, Dentistry , Optometry Wellness and Preventative and Other benefits for Suremed Navigator

We also have information on: In-hospital, Out of Hospital, Medicine, Maternity, Cancer, Mental Health and Prosthetics benefits.

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Monthly Costs:

Navigator 2024 prices
Main member: Adult member: Child member:
Total Cost pm:
  • R3,884
  • R3,040
  • R1148
  • Pay for all children
Savings:
  • R6300
  • R4860
  • R2028
Extended Fund:
Extra funds from the scheme for (mostly) out of hospital claims, over and above any savings account
  • Main= R13,090
  • Main+1= R25,680
Children Rates:
  • Pay for all children
Income band:
Note:
  • Exclusions: Note that all schemes have extensive exclusions. We've tried to list the major ones, but you must consult with your scheme to get the full list.
  • All treatments and procedures are subject to authorisation and protocols
  • All benefits are listed as an indication only. Please verify with your broker and scheme
♦️View all the other benefits for this plan:♦️
Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics

You can also:
♦️Compare any two plans, side by side | ♦️View all the Suremed plans, with costs and brief summary
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Dentistry benefits ():

(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)

Suremed: Navigator
Assume scheme pays all these costs, unless otherwise stated
Standard Dentistry:
  • From day-to-day benefit
  • Sublimit R4,800 per person once savings account is depleted
Specialised Dentistry:
  • Children under 12yrs, and impacted wisdom teeth: R10,700 per family
In-Hospital Dentistry:
  • See "Specialized Dentistry"
 PMBs are always covered by the scheme, and cannot have sublimits or co-payments imposed. These include fracture of face bones, orbit and/or jaw. You can see a full list of maxillo facial PMB benefits here.
Orthodontics:
  • See "Specialized Dentistry"
Note:
  • PMBs: Prescribed Minimum Benfits. To read more about PMBs click here
  • DSPs: Designated Service Provders. Where stipulated, you must use specific specific providers to get full benefit.
  • Co-payment: Paid out of pocket, or out of savings account. Sometimes this is refundable to you if you have a gap product
♦️View all the other benefits for this plan:♦️
Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics

You can also:
♦️Compare any two plans, side by side | ♦️View all the Suremed plans, with costs and brief summary
.
.
.

Optometry benefits ():

(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)

Suremed: Navigator
Assume scheme pays all these costs, unless otherwise stated
Optometry:
  • R16,000 per family
Note:
  • This section does not apply to opthamology benefits, which fall under "in-hospital" benefits. Some of those are PMBs, and are paid for in full by your scheme. You can read more about PMBs here.
♦️View all the other benefits for this plan:♦️
Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics

You can also:
♦️Compare any two plans, side by side | ♦️View all the Suremed plans, with costs and brief summary
.
.
.

Wellness/Preventative benefits ():

(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)

Suremed: Navigator
Assume scheme pays all these costs, unless otherwise stated
Flu vaccination:
  • No cover
Pneumonia vaccines:
  • No cover
Biometric Screening:
  • No cover
Child Immunisation:
  • Part of overall wellness benefit
  • From savings account, thereafter up to R1,110 per person and R2,100 per family from overall day-to-day benefit
Pap Smear:
  • Part of overall wellness benefit
  • From savings account, thereafter up to R1,110 per person and R2,100 per family from overall day-to-day benefit
Mammogram:
  • Part of overall wellness benefit
  • From savings account, thereafter up to R1,110 per person and R2,100 per family from overall day-to-day benefit
PAS Test: .
HIV Test:
  • No cover
Other:
  • R35,000 per person, unless PMB
♦️View all the other benefits for this plan:♦️
Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics

You can also:
♦️Compare any two plans, side by side | ♦️View all the Suremed plans, with costs and brief summary
.
.
.

Other benefits for :

(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)

Navigator
International Insurance:
  • No cover
Other:
♦️View all the other benefits for this plan:♦️
Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics

You can also:
♦️Compare any two plans, side by side | ♦️View all the Suremed plans, with costs and brief summary
.

    Important!
  • Unless specified, assume that all benefits are paid are paid at 100% scheme rate
  • No limits or co-payments can apply to treatment of PMBs, which is always unlimited, although subject to strict protocols and scheme rules.
  • "Unlimited" benefits are still subject to authorisation, protocols and sublimits
  • Assume that all benefits need to be pre-authorised

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