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Compcare Dynamix:
dentistry, optometry and wellness (2024)

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

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

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Monthly Costs:

Dynamix 2024 prices
Main member: Adult member: Child member:
Total Cost pm:
  • R7,578
  • R5,920
  • R2,113
  • Only pay for 3 children
Savings:
  • R12,720
  • R9,936
  • R3,540
Extended Fund:
Extra funds from the scheme for (mostly) out of hospital claims, over and above any savings account
  • R3,624
  • R2,808
  • R1,008
Self Payment Gap:
(What you need to pay out of pocket before you can access the "Above Threshold" benefit)
  • R10,225
  • R7,635
  • R2,880
"Above Threshold" benefit (ATB):
Additional cover the scheme makes available to you, once you've paid the self payment gap.
  • Main= R9,200
  • Main+1= R16,380
Children Rates:
  • Under 21 yrs, unless student or financially dependent. Then, under 27yrs.
  • Only pay for 3 children
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

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Dentistry benefits (2022):

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

Compcare: Dynamix
Assume scheme pays all these costs, unless otherwise stated
Standard Dentistry:
  • From from day-to-day benefit
  • Unlimited per child <6 yrs once day-to-day is depleted.
Specialised Dentistry:
  • R13,000 per person and R18,000 per family
  • From day-to-day benefit
In-Hospital Dentistry:
  • Maxillofacial and oral surgery- in-and-out of hospital combined limit: shared with Specialised Dentistry benefit
  • Otherwise, R2,600 co-payment
 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 "Specialised dentistry", above
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 Compcare plans, with costs and brief summary
.
.
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Optometry benefits (2022):

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

Compcare: Dynamix
Assume scheme pays all these costs, unless otherwise stated
Optometry:
  • From day to day benefit, (but not from above-threshold benefit)
  • Lenses and contact lenses:
  • R4,200 per person, as part of above limit
  • Frames:
  • R1,780 per person, as part of lens limit
  • Radial keratotomy and excimer laser: R7,500 per eye
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 Compcare plans, with costs and brief summary
.
.
.

Wellness/Preventative benefits (2022):

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

Compcare: Dynamix
Assume scheme pays all these costs, unless otherwise stated
Flu vaccination:
  • Covered
Pneumonia vaccines:
  • As required
Biometric Screening:
  • Covered
Child Immunisation: .
Pap Smear:
  • Covered , 18+ every year
Mammogram:
  • Covered , 35yrs+ every 2 yrs
PAS Test:
  • Covered
HIV Test:
  • Covered
Other:
  • Preventative malaria medication
  • Tetanus vaccine
  • Glaucoma test
  • Colorectal cancer screening test, 45-75yrs
♦️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 Compcare plans, with costs and brief summary
.
.
.

Other benefits for 2022:

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

Dynamix
International Insurance:
  • Access to emergency medical care when travelling outside of South Africa
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 Compcare 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

Also see these:




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