Sizwe Value Platinum Core:
dentistry, optometry and wellness (2025)

This page has information on: Costs, Dentistry, Optometry, Wellness and Preventative and Other benefits for Sizwe Value Platinum Core

• View all the Sizwe plans, with costs and brief summary.
• View all open medical aid plans.
• Compare any two plans side by side, instantly.

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: Value Platinum Core
Assume scheme pays all these costs, unless otherwise stated
Main Member: Adult: Child: Self Payment Gap: (What you need to pay out of pocket before you can access the "Above Threshold" benefit) R2462 R2085 R538 "Above Threshold" benefit (ATB): Additional cover the scheme makes available to you, once you've paid the self payment gap. 6507 3827 1664 Other Day-to-Day Funds:
Standard Dentistry:	2 consults per person Fillings, extractions, oral hygiene, root canal: Covered Plastic dentures: one set per beneficiary every 4 years From day to day benefit
Specialised Dentistry:	Crowns & Bridgework, Dentures, Orthodontics, removal of impacted wisdom teeth and non-surgical) Crowns: one crown per family Implant: R17,199 per person, every 5 years Metal Dentures: 2 frames per person, one person per year Paid by scheme	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: 100% scheme rate	Gap Cover: Can cover most co-payments and increase sublimits (Plans coming soon)
Orthodontics:	Paid by scheme, up to 21yrs old

Optometry benefits (2025):

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

Sizwe: Value Platinum Core
Assume scheme pays all these costs, unless otherwise stated
Main Member: Adult: Child: Self Payment Gap: (What you need to pay out of pocket before you can access the "Above Threshold" benefit) R2462 R2085 R538 "Above Threshold" benefit (ATB): Additional cover the scheme makes available to you, once you've paid the self payment gap. 6507 3827 1664 Other Day-to-Day Funds:
Optometry:	Limit From day to day benefit Consult: 1 test per person every 2 years Frames: R1,175 Single lenses R247 per lens Bifocals: R537 per lens Multifocals R985 per lens Contacts R2,128 per person Refractive Surgery: R8,440
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: Value Platinum Core
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:

Value Platinum Core
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.