Sizwe Access Saver 25:
dentistry, optometry and wellness (2025)

This page has information on: Costs, Dentistry, Optometry, Wellness and Preventative and Other benefits for Sizwe Access Saver 25%

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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)

Sizwe: Access Saver 25
Assume scheme pays all these costs, unless otherwise stated
Main Member: Adult: Child: Savings: R11733 R10134 R2355 Other Day-to-Day Funds:
Standard Dentistry:	2 consults per person Fillings, extractions, oral hygiene: Covered Plastic dentures: one set per beneficiary every 4 years Paid by scheme
Specialised Dentistry:	From day to day benefit	Gap Cover: Can cover most co-payments and increase sublimits (Plans coming soon)
In-Hospital Dentistry:	Children under 7yrs: Paid by scheme Impacted wisdom teeth: Covered as day case Maxillo facial surgery: PMBs only	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)

Sizwe: Access Saver 25
Assume scheme pays all these costs, unless otherwise stated
Main Member: Adult: Child: Savings: R11733 R10134 R2355 Other Day-to-Day Funds:
Optometry:	Limit Paid by scheme Consult: 1 test per person every 2 years Frames: R670 Single lenses R257 per lens Bifocals: R544 per lens Multifocals R544 per lens Contacts R1,219 per person
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)

Sizwe: Access Saver 25
Assume scheme pays all these costs, unless otherwise stated
Flu vaccination:	Covered
Pneumonia vaccines:	Covered, for 65yrs+
Biometric Screening:	Covered
Child Immunisation:	Covered, up to age 12m
Pap Smear:	Covered for 18yrs+,
Mammogram:	Covered for 40yrs+, every year
PAS Test:	Covered for 40yrs+
HIV Test:	Covered
Other:	Bone density test: Covered, 50yrs+
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 Sizwe plans, with costs and brief summary. Find all other open medical aid plans here.

Other benefits for 2025:

Access Saver 25
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.