2026 benefit guide · confirm your current option with the scheme
GEMS: what to confirm before dental treatment
GEMS’s dental limits differ by option. Tanzanite One and Beryl provide specified routine services through the GEMS dental network. Ruby, Emerald Value, Emerald and Onyx use an annual dental sub-limit for the beneficiary receiving treatment.
That shared limit combines dental professional fees in hospital with outpatient dentistry; it is not a single family dental pool. The 2026 limits are R4,489 for Ruby, R6,900 for Emerald and Emerald Value, and R12,310 for Onyx, with specific preventive-care exceptions and procedure rules.
AIM Dental is at AIM Healthcare Centre in Malanshof, Randburg. Reception can help with a treatment quote; your scheme confirms cover for your option.
Toothache right now? Call reception to check the next available appointment.
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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.
Tanzanite One and Beryl allow only a defined emergency out-of-network visit; this is not permission for unlimited non-network treatment.
Check the beneficiary’s remaining limit, scheme tariff and any difference from the quote.
Specialised procedures normally need authorisation. Approval does not promise payment of every cost or every implant phase.
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.