Assume scheme pays all these costs, unless otherwise stated
Standard Dentistry:
1 consult per person paid by scheme
Specialised Dentistry:
No benefit
In-Hospital Dentistry:
Maxillo-facial surgery and general anaesthesia for children under 7yrs: Hospital and anaesthetist accounts paid by scheme, with R1,830 co-payment. Surgeon, dental and dental specialist accounts paid out-of-pocket
Wisdom teeth: Paid by scheme, with:
In chair: R1,830 co-payment
Day hospital: R3,300 co-payment
Overnight hospital: R6,150 co-payment
Assume scheme pays all these costs, unless otherwise stated
Optometry:
No benefit
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.