Medimed Essential C:
dentistry, optometry and wellness (2025)

Contents:

This page has information on: Costs, Dentistry, Optometry, Wellness and Preventative and Other benefits for Medimed Essential C View all the Medimed plans, with costs and brief summary.

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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)

Medimed:Essential C (2025)
Main member: Adult member: Child member:
Total Cost pm:
  • R2,480
  • R2,480
  • R650
  • Pay for all children
Savings:
  • R2,976
  • R2,976
  • R780
Children Rates:
  • Pay for all children
Income band:

Dentistry benefits (2025):

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

Medimed: Essential C
Assume scheme pays all these costs, unless otherwise stated
Main Member: Adult: Child:
Savings:
  • R2,976
  • R2,976
  • R780
Other Day-to-Day Funds:
Standard Dentistry:
  • R3,200 per person and R5,500 per family
  • Shared with standard and specialised dentistry
Specialised Dentistry:
  • R3,200 per person and R5,500 per family
  • Plastic dentures: One set, every 2 years
  • Shared with standard and specialised dentistry
Gap Cover:
Can cover most co-payments and increase sublimits
(Plans coming soon)
In-Hospital Dentistry:
  • Impacted wisdom teeth and treatment for children under 12yrs: R10,000 per family
  • Paid at 60%-75% scheme rate
Gap Cover:
Can cover most co-payments and increase sublimits
(Plans coming soon)
Orthodontics:
  • No benefit

Optometry benefits (2025):

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

Medimed: Essential C
Assume scheme pays all these costs, unless otherwise stated
Main Member: Adult: Child:
Savings:
  • R2,976
  • R2,976
  • R780
Other Day-to-Day Funds:
Optometry:
Limit: Every 24 months, paid by scheme
Consult:1 per person
Frames:R330
Single lensesR215
Bifocals:R460
MultifocalsR460
ContactsR845
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)

Medimed: Essential C
Assume scheme pays all these costs, unless otherwise stated
Flu vaccination:
  • No benefit
Pneumonia vaccines:
  • No benefit
Biometric Screening:
  • No benefit
Child Immunisation:
  • No benefit
Pap Smear:
  • No benefit
Mammogram:
  • No benefit
PAS Test:
  • No benefit
HIV Test:
  • No benefit
Other: .
View other benefits for this plan:
In-hospital | Out-of-hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics

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Compare any two plans, side by side | View all the Medimed plans, with costs and brief summary.

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Other benefits for 2025:

Essential C
International Insurance: .
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.