2026 benefit guide · confirm your current option with the scheme
Discovery Health: what to confirm before dental treatment
Discovery dental funding depends on the exact plan and procedure. Executive, Comprehensive and Priority combine available day-to-day funds with a threshold benefit; Saver and Smart Saver have different funding arrangements. Published rand limits are benefit limits, not promises to pay a dentist’s full fee.
Smart and Smart Saver include one defined check-up a year with a plan-specific co-payment. Core has no ordinary outpatient dental benefit. KeyCare Plus and Start options cover selected basic treatment through the KeyCare dentist network, while KeyCare Core excludes outpatient dental treatment.
The Personal Health Fund must be checked by plan and procedure. The 2026 PHF guide expressly excludes dentistry on KeyCare. Smart Saver’s dental guide explicitly permits available PHF/MSA for other eligible dental procedures; PHF membership alone does not establish a dental exception for Core.
AIM Dental is at AIM Healthcare Centre in Malanshof, Randburg. Reception can help with a treatment quote; your scheme confirms cover for your option.
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We claim directly from medical aids. Bring your card and option name, ask for a written treatment quote, and confirm current benefits, authorisation requirements and any expected co-payment with your scheme. A benefit check does not guarantee final claim payment; you remain responsible for amounts your scheme does not pay. We quote before we treat. If a network rule applies, ask your scheme to confirm this practice’s eligibility for your option and treatment.
Key points from official guides
Reference first compiled on 2026-07-29 for the 2026 benefit year. Reference reconciled 2026-11-03. The selected sources below were checked on 3 November 2026. This summary covers the points listed here, not every benefit. Confirm your personal cover before treatment.
Ask which exact procedure codes qualify, what funds remain and what tariff difference you would pay.
Executive, Comprehensive and Priority appliance limits use existing day-to-day funds; they are not additional cash allowances.
Ordinary hospital dental treatment and the defined Severe Dental and Oral Surgery Benefit have different rules. Authorisation, age and facility can change payment.
Read the official sources
What to ask before treatment
- Which exact option and funding source apply to the procedure codes on my quote?
- What benefit remains, and which authorisation or provider rules apply?
- What will the scheme pay and what amount will I need to pay?
Have your scheme and option name ready when you contact reception.
This guide helps you discuss dental cover; it isn’t financial advice or confirmation of personal cover. Confirm current benefits with your scheme and get a written treatment quote. Final payment depends on the claim assessment.