2026 benefit guide · confirm your current option with the scheme
Makoti Medical Scheme: what to confirm before dental treatment
Makoti’s Primary and Comprehensive options are separate benefits. DENIS’s 2026 table lists one examination and one scale-and-polish per beneficiary per year, with further rules for X-rays and fillings.
Comprehensive lists a specialised-dentistry family limit, while its dentures and specified advanced procedures require authorisation. Do not transfer Comprehensive’s allowance to Primary. For treatment at AIM Dental in Malanshof, confirm the exact option, provider eligibility and the codes on your quote.
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.
Remaining benefit and treatment cycles matter even when a service is listed.
More extensive restorative treatment may require advance notification or authorisation.
A scheme tariff can be lower than the treatment fee.
Read the official sources
What to ask before treatment
- What is my exact option and which benefit pays for these procedure codes?
- Is AIM Dental eligible for the required provider arrangement, and is authorisation needed?
- What will the scheme pay on this quote, and what would I 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.