EMERGENCY ROOT CANAL THERAPY
For emergency treatment only , limited to pulp removal ( wisdom teeth excluded )
Subject to DENIS treatment protocols
EXTRACTIONS Subject to DENIS treatment protocols Impacted teeth excluded
PLASTIC DENTURES AND ASSOCIATED LABORATORY COSTS
Once every 2 years for beneficiaries 21 years and older ( based on the date of your previous claim )
Managed Care protocols apply
20 % co-payment applies Pre-authorisation required or further 20 % penalty applies
DENTAL FILLINGS
4 fillings per beneficiary
Benefit for re-treatment of a tooth is subject to Managed Care protocols
Benefit for fillings is granted once per tooth , every 2 years
MAXILLO-FACIAL SURGERY IN DENTAL CHAIR PMB only Pre-authorisation from DENIS required
MODERATE / DEEP SEDATION IN DENTAL ROOMS ( IV CONSCIOUS SEDATION )
Limited to extensive conservative dental treatment Pre-authorisation from DENIS required
HOSPITALISATION ( GENERAL ANAESTHETIC )
PMB only
Avoid a 30 % co-payment by using a hospital on the applicable network
Pre-authorisation from DENIS required
All benefits and limits are per calendar year , unless otherwise stated . All claims are paid at the BonCap Rate , unless otherwise stated . Managed Care protocols apply . All benefits are approved by the Council for Medical Schemes . PMB = Prescribed Minimum Benefits DSP = Designated Service Provider
5 BONCAP 2024 OUT-OF-HOSPITAL BENEFITS