This page has information on: Costs, Dentistry, Optometry, Wellness and Preventative and Other benefits for Suremed Navigator
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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)
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| Main member: | Adult member: | Child member: | |
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| Savings: |
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| Extended Fund: Extra funds from the scheme for (mostly) out of hospital claims, over and above any savings account |
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| Children Rates: |
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Dentistry benefits (2025):
(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)
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Assume scheme pays all these costs, unless otherwise stated |
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| Standard Dentistry: |
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| Specialised Dentistry: |
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Gap Cover: Can cover most co-payments and increase sublimits (Plans coming soon) |
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| In-Hospital Dentistry: |
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Gap Cover: Can cover most co-payments and increase sublimits (Plans coming soon) |
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| Orthodontics: |
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Optometry benefits (2025):
(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)
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Assume scheme pays all these costs, unless otherwise stated |
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| Optometry: |
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| Note: |
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Wellness/Preventative benefits (2025):
(Other benefits: Costs | Inhospital | Out of hospital | Medication | Maternity | Cancer | Mental Health | Dentistry | Optometry | Other/Extra Benefits | Wellness | Prosthetics)
| Suremed: Navigator | |
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Assume scheme pays all these costs, unless otherwise stated |
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| Flu vaccination: |
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| Pneumonia vaccines: |
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| Biometric Screening: |
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| Child Immunisation: |
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| Pap Smear: |
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| Mammogram: |
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| PAS Test: |
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| HIV Test: | . |
| Other: |
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| 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 Suremed plans, with costs and brief summary. Find all other open medical aid plans here. |
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Other benefits for 2025:
| Navigator | |
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| International Insurance: | . |
| Other: | . |
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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.