Your Dental Benefits
DENIS provides and manages sustainable dental benefits for medical scheme members. Please refer to your dental benefit table below to confirm if your selected option dental benefits are managed by DENIS on behalf of your scheme.
Benefits are divided into: Conservative Dentistry; Specialised Dentistry; and Hospitalisation/Anaesthetics.
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:
- Oral hygiene (scale and polish)
- Intra-oral and extra-oral x-rays
- Root canal treatment
- Plastic dentures. (Pre-authorisation is required)
Please refer to your dental benefit table below for specific conservative benefits applicable to your option.
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
- Crowns & bridgework (*Pre-Authorisation required)
- Implants (*Pre-Authorisation required)
- Orthodontics (*Pre-Authorisation required)
- Periodontics (*Pre-Authorisation required)
- Maxillo-Facial Surgery
- Oral Pathology
Not all options have specialised dentistry benefits; Please refer to your dental benefit table below to confirm whether you are covered for any of these benefits.
Certain dental procedures (e.g. removal of impacted teeth or extensive dental treatment) might require IV conscious sedation at your dentist 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 your dental benefit table below to confirm whether you have cover for this specific benefit.