Compcare UltraCare:
dentistry, optometry and wellness (2025)

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

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Terminology:

• PMBs: Prescribed Minimum Benefits. You can read more about PMBs, see a list of all PMB conditions or read more what "PMB only" benefit means.
• DSPs: Designated Service Providers. Where stipulated, you must use 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.
• All schemes have extensive exclusions. We've tried to list the non-common ones here, but please consult your scheme or broker to get the full list.

Monthly Costs (2026)

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

Dentistry benefits (2025):

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

Compcare: UltraCare
Assume scheme pays all these costs, unless otherwise stated
Main Member: Adult: Child: Savings (per year): No savings account option on this plan The scheme might still cover some or all day-to-day claims. See below, and see benefits. Extended Fund: Extra funds from the scheme for (mostly) out of hospital claims, over and above any savings account R16,000 R6,766 R2,631 Self Payment Gap: (What you need to pay out of pocket before you can access the "Above Threshold" benefit) R10,200 R7,600 R2,800 "Above Threshold" benefit (ATB): Additional cover the scheme makes available to you, once you've paid the self payment gap. Main= R9,660 Main+1= R17,200 Other Day-to-Day Funds:
Standard Dentistry:	R4,700 per person Paid From day to day benefit . Not paid from Above Threshold Benefit
Specialised Dentistry:	R15,400 per person and R20,800 per family Paid From day to day benefit . Not paid from Above Threshold Benefit	Gap Cover: Can cover most co-payments and increase sublimits (Plans coming soon)
In-Hospital Dentistry:	.	Gap Cover: Can cover most co-payments and increase sublimits (Plans coming soon)
Orthodontics:	See "Specialised dentistry", above

Optometry benefits (2025):

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

Compcare: UltraCare
Assume scheme pays all these costs, unless otherwise stated
Main Member: Adult: Child: Savings (per year): No savings account option on this plan The scheme might still cover some or all day-to-day claims. See below, and see benefits. Extended Fund: Extra funds from the scheme for (mostly) out of hospital claims, over and above any savings account R16,000 R6,766 R2,631 Self Payment Gap: (What you need to pay out of pocket before you can access the "Above Threshold" benefit) R10,200 R7,600 R2,800 "Above Threshold" benefit (ATB): Additional cover the scheme makes available to you, once you've paid the self payment gap. Main= R9,660 Main+1= R17,200 Other Day-to-Day Funds:
Optometry:	Limit: From day to day benefit, but not from Above Threshold Consult: 1 per person Frames: R2,080 from network provider Lenses R4,800 Contacts R4,800 Refractive Surgery: R8,350 per eye, paid by scheme
Note:	This section does not apply to ophthalmology 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.

Wellness/Preventative benefits (2025):

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

Compcare: UltraCare
Assume scheme pays all these costs, unless otherwise stated
Flu vaccination:	Covered
Pneumonia vaccines:	As required
Biometric Screening:	Covered
Child Immunisation:	Covered
Pap Smear:	Covered, 18+ every year
Mammogram:	Covered, 35yrs+ every 2 yrs
PAS Test:	Covered
HIV Test:	Covered
Other:	Preventative malaria medication Tetanus vaccine Lipogram Glaucoma test Colorectal cancer screening test, 45-75yrs
View other benefits for this plan: In-hospital | 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. Find all other open medical aid plans here.

Other benefits for 2025:

UltraCare
International Insurance:	Access to emergency medical care when travelling outside of South Africa
Other:	.

Important!
• Unless specified, assume that all benefits 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.