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Denis Dental Benefits

​​​​​​​​​​​​​​​​​​​​​​​Denis provides and manages sustainable dental benefits for medical scheme members. Please check the dental benefit guides  to confirm  the schemes and dental benefits options managed by Denis on behalf of the scheme.

Benefits are divided into: Conservative Dentistry; Specialised Dentistry; and Hospitalisation/Anaesthetics. ​
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Conservative Dentistry

​Conservative dentistry is also known as basic or routine dentistry. It means the diagnosis, prevention and treatment of tooth and gum diseases as well as the repair of defective teeth. 

 
The following treatments and procedures are included: 
• Consultations
• Oral hygiene (scale and polish)
• Fillings
• Intra-oral and extra-oral x-rays
• Root canal treatment
• Extractions
• Plastic dentures. (Pre-authorisation is required)

 
Please consult the dental benefit guides for specific conservative benefits applicable to the schemes and options managed by Denis.

Specialised Dentistry

Specialised dentistry (also known as advanced dentistry) occurs when teeth need to be replaced or when badly damaged teeth need to be repaired and a filling (conservative dentistry) would not be adequate.

 
Authorisation is required for some treatment before treatment starts. 

 
This includes the following treatments: 

 
• Partial metal frame dentures  (*Pre-Authorisation required)
• Crowns & bridgework  (*Pre-Authorisation required)
• Implants (*Pre-Authorisation required)
• Orthodontics (*Pre-Authorisation required) Click to view the DAI INDEXV5.pdf
• Periodontics (*Pre-Authorisation required)
• Maxillo-Facial Surgery 
• Oral Pathology 

 
Not all options have specialised dentistry benefits; please refer to the dental benefit guides to confirm which schemes and options have specialised dentistry benefits.

Hospitalisation & Anaesthetics

Certain dental procedures (e.g. removal of impacted teeth or extensive dental treatment) might require IV conscious sedation in the rooms or even general anaesthetics (GA) in hospital.  

 
Authorisation is required before treatment. 

 
Some options offer limited access to hospital for dental treatment; please refer to the dental benefit guides to confirm schemes and options levels of access to this specific benefit.

Chairside Guide

​NB: Denis shall be entitled to update the information presented in the Chair Side Guide from time to time, subject to the provision of notice thereof on www.denis.co.za. Such information shall be superseded as and when it is updated by the updated version thereof.

​Title

​Year

Chairside Guide - 2018​2018

​Chairside Guide - 2019

2019 Chairside Guide.pdf​​​

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Dental benefits are subject to clinical protocols and managed care interventions which may include the requirement of treatment plans and/or radiographs prior to benefit application.

Scheme exclusions apply to dental benefits. In the event of a dispute, the rules of the scheme will prevail.

​Scheme

​Year

​ ​
​Alliance-Midmed 2018 ​2019 ​
​Bonitas ​2018 2019​
​​Enablemed ​2018  2019​​
​KeyHealth 20​18​​​ ​​ 2019​
​PG Group
 2018 ​2019​
​Sizwe
 2018 2019 ​
​Thebemed 2018 ​2019 
​Transmed​2019
​Medshield
 ​2018 2019
GEMS​
Please click on the name to link to the GEMS website.		 ​ ​

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     Dental Program Management​
  * Please note these products are insurance based and NOT Medical Aid options.

​​Plan​Year​Year
​PEP Executive Plan​2019​​

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