2026 benefit guide · confirm your current option with the scheme
Medshield dental benefits, in plain language
Medshield’s dental funding cannot be reduced to a single day-to-day allowance. MediBonus and MediPlus fund basic dentistry from their Overall Annual Limit, which is unlimited but still subject to dental code and frequency rules. MediValue first uses its R7,700 specialised family limit for basic dentistry and then the available day-to-day benefit.
MediSaver uses PSA for ordinary care, with separately specified limits for some authorised specialised procedures. PremiumPlus also uses PSA/threshold rules, so it should not be grouped with MediBonus. MediPhila’s basic dentistry is limited to R1,900 per family within the R7,600 specialised family limit.
MediCurve lists one annual examination with a R150 upfront co-payment and a defined set of basic services. MediCore explicitly has no ordinary routine dental benefit, although selected non-elective surgery and approved extensive hospital treatment for children under six are separate exceptions.
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.
Option by option
Reference first compiled on 2026-07-29 for the 2026 benefit year. Reference reconciled 2026-11-03. Source review: 2026-11-03. Details and available benefits depend on your exact option. Confirm your personal cover before treatment.
MediCurve
Benefit listed — rules apply- Routine check-up
- Yes — one examination with R150 upfront co-payment
- What that includes
- One examination per beneficiary per year, at least six months after the previous year’s visit; one pain/sepsis consultation; four intraoral X-rays; one polish or scale-and-polish. Four fillings per year subject to per-tooth rules.
- Paid from
- Listed dental codes at MDT.
- 2026 limits
- Code-based routine benefit. Non-elective oral/maxillofacial surgery: R6,450 per family, with specified authorisation and admission co-payments.
- Network rule
- MediCurve Hospital Network for planned admissions. Confirm dental-provider requirements separately from hospital networks; the cited table does not establish AIM network membership.
- Co-payments & gaps
- R150 upfront examination co-payment. Authorised impacted-tooth removal: R1,800 day-clinic / R4,000 hospital co-payment; the table exempts approved moderate/deep sedation in rooms from that admission co-payment.
MediPhila
Benefit listed — rules apply- Routine check-up
- Yes — subject to R1,900 family basic-dental sub-limit
- What that includes
- Consultations and preventative care once every six months, with code and clinical restrictions. Fluoride is limited to ages 5–12 and sealants to under 16.
- Paid from
- Basic out-of-hospital dentistry uses a sub-limit within the specialised dentistry family limit.
- 2026 limits
- R1,900 basic dentistry per family, included in—not additional to—the R7,600 specialised dentistry family limit.
- Network rule
- MediPhila Hospital Network for planned admissions. Confirm dental-provider requirements separately from hospital networks; the cited table does not establish AIM network membership.
- Co-payments & gaps
- Benefits use the Medshield Dental Tariff (MDT), not necessarily the invoice price. Specialised procedures, hospitalisation and sedation may require authorisation. Routine costs can exceed the small shared sub-limit.
MediValue Prime / MediValue Compact
Benefit listed — rules apply- Routine check-up
- Yes — once every six months, subject to funding
- What that includes
- Consultations and preventative care once every six months, with code and clinical restrictions. Fluoride is limited to ages 5–12 and sealants to under 16.
- Paid from
- Basic dentistry first uses the R7,700 specialised dentistry family limit; after that it uses the available day-to-day limit.
- 2026 limits
- R7,700 specialised family limit. Day-to-day limit: member R8,500; member+1 R10,200; +2 R10,600; +3 R12,000; +4 or more R13,000.
- Network rule
- Prime and Compact have the same published dental benefits but different hospital networks. Confirm dental-provider requirements separately from hospital networks; the cited table does not establish AIM network membership.
- Co-payments & gaps
- Benefits use the Medshield Dental Tariff (MDT), not necessarily the invoice price. Specialised procedures, hospitalisation and sedation may require authorisation. Voluntary elective non-network hospital treatment can attract a 30% hospital co-payment.
MediSaver
Benefit listed — rules apply- Routine check-up
- Yes — paid from available PSA
- What that includes
- Consultations and preventative care once every six months, with code and clinical restrictions. Fluoride is limited to ages 5–12 and sealants to under 16.
- Paid from
- Basic dentistry and specified specialised services use the Personal Savings Account (PSA). Some authorised specialised services have a separate family limit.
- 2026 limits
- Basic care, dentures/frames and crowns depend on available PSA. The table lists R16,700 per family for approved implant/orthodontic benefits.
- Network rule
- Compact Hospital Network for planned admissions. Confirm dental-provider requirements separately from hospital networks; the cited table does not establish AIM network membership.
- Co-payments & gaps
- Benefits use the Medshield Dental Tariff (MDT), not necessarily the invoice price. Specialised procedures, hospitalisation and sedation may require authorisation. Depleted savings do not automatically remove a separately specified specialised benefit.
MediPlus Prime / MediPlus Compact
Benefit listed — rules apply- Routine check-up
- Yes — once every six months
- What that includes
- Consultations and preventative care once every six months, with code and clinical restrictions. Fluoride is limited to ages 5–12 and sealants to under 16.
- Paid from
- Basic dentistry from the Overall Annual Limit (OAL); OAL is unlimited on these options, but individual dental rules still restrict services.
- 2026 limits
- Specialised dentistry R16,200 per family; unlimited OAL does not mean unlimited visits or every procedure.
- Network rule
- Prime and Compact dental benefits are the same; use the applicable Prime or Compact Hospital Network for planned admissions. Confirm dental-provider requirements separately from hospital networks; the cited table does not establish AIM network membership.
- Co-payments & gaps
- Benefits use the Medshield Dental Tariff (MDT), not necessarily the invoice price. Specialised procedures, hospitalisation and sedation may require authorisation. Voluntary elective non-network hospital use can attract a 30% hospital co-payment.
MediBonus
Benefit listed — rules apply- Routine check-up
- Yes — once every six months, subject to funding
- What that includes
- Consultations and preventative care once every six months, with code and clinical restrictions. Fluoride is limited to ages 5–12 and sealants to under 16.
- Paid from
- Basic dentistry uses unlimited OAL, subject to dental code and frequency rules.
- 2026 limits
- Specialised dentistry R23,000 per family.
- Network rule
- Confirm dental-provider requirements separately from hospital networks; the cited table does not establish AIM network membership.
- Co-payments & gaps
- Benefits use the Medshield Dental Tariff (MDT), not necessarily the invoice price. Specialised procedures, hospitalisation and sedation may require authorisation.
PremiumPlus
Benefit listed — rules apply- Routine check-up
- Yes — once every six months, subject to funding
- What that includes
- Consultations and preventative care once every six months, with code and clinical restrictions. Fluoride is limited to ages 5–12 and sealants to under 16.
- Paid from
- Basic and specified specialised dentistry use PSA, accumulate toward threshold, and may use above-threshold benefits once the threshold is reached, according to the option rules.
- 2026 limits
- PSA/threshold funding for ordinary care; approved implant/orthodontic benefits use a R24,050 specialised family limit.
- Network rule
- Confirm dental-provider requirements separately from hospital networks; the cited table does not establish AIM network membership.
- Co-payments & gaps
- Benefits use the Medshield Dental Tariff (MDT), not necessarily the invoice price. Specialised procedures, hospitalisation and sedation may require authorisation.
MediCore
No routine benefit- Routine check-up
- No routine dental benefit
- What that includes
- No consultations, X-rays, preventative care, fillings, root canals, extractions or plastic dentures are listed under ordinary conservative dentistry.
- Paid from
- Routine dentistry is not funded. Selected hospital/non-elective surgical benefits are separate.
- 2026 limits
- Approved non-elective oral/maxillofacial surgery uses a R16,000 family limit. Approved extensive basic hospital dentistry for children under six uses OAL.
- Network rule
- Compact Hospital Network for planned admissions.
- Co-payments & gaps
- Do not assume a routine examination is covered. Hospitalisation requires authorisation; voluntary elective non-network admission can attract 30%.
Read the official sources
Worth knowing before you book
- Prime/Compact hospital networks do not by themselves establish the dental practice network; confirm the actual dentist and procedure.
- A savings-funded crown and a separately funded implant may draw from different accounts even on the same option.
- MediCurve and MediCore have precise exclusions; do not infer comprehensive dental cover from a hospital benefit.
- Medshield tariff, clinical, frequency and authorisation rules apply; an unlimited overall limit does not mean every dental service is unlimited.
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.