ORTHODONTICS AND ASSOCIATED LABORATORY COSTS
PERIODONTICS
Orthodontic treatment is granted once per beneficiary , per lifetime
Benefit allocation is subject to the outcome of the needs analysis and funding can be granted up to 100 % of the Bonitas Dental Tariff
Only 1 family member may begin orthodontic treatment in a calendar year
Managed Care protocols apply
Benefit is limited to conservative , non-surgical therapy only and will only be applied to members who are registered on the Periodontal Programme
Pre-authorisation required
Pre-authorisation cases will be clinically assessed by using an orthodontic needs analysis
Benefit for orthodontic treatment will be granted where function is impaired ( not granted for cosmetic reasons )
Benefit for fixed comprehensive treatment is limited to beneficiaries from age 9 and younger than 18 years
Pre-authorisation required
Managed Care protocols apply
MAXILLO-FACIAL SURGERY AND ORAL PATHOLOGY SURGERY IN THE DENTAL CHAIR
HOSPITALISATION ( GENERAL ANAESTHETIC )
INHALATION SEDATION IN DENTAL ROOMS ( LAUGHING GAS )
MODERATE / DEEP SEDATION IN DENTAL ROOMS ( IV CONSCIOUS SEDATION )
Managed Care protocols apply
A co-payment of R3 500 per hospital admission applies for children under the age of 5 and R5 000 for any other admission , including removal of impacted teeth or any other medical condition OR A R2 500 upfront co-payment if the dental treatment is done in a day hospital
Avoid a 30 % co-payment by using a hospital on the applicable network
Pre-authorisation required
Managed Care protocols apply
Limited to extensive dental treatment Pre-authorisation required
General anaesthetic is only available to children under the age of 5 for extensive dental treatment
General anaesthetic benefit is available for the removal of impacted teeth
Managed Care protocols apply
Managed Care protocols apply
All benefits and limits are per calendar year , unless otherwise stated . Managed Care protocols apply . All benefits are approved by the Council for Medical Schemes . PMB = Prescribed Minimum Benefits
5 BONCLASSIC 2024 OUT-OF-HOSPITAL BENEFITS