2026 benefit guide · confirm your current option with the scheme
SAMWUMED: what to confirm before dental treatment
SAMWUMED Options A and B have different dental benefits. The detailed DENIS 2026 table and the scheme’s 2026 brochure are used for these distinctions. Dental benefits are paid from risk under the brochure, subject to the dental tariff, limits and managed-care rules, including on the Option A savings plan.
The table lists broader qualifying specialised treatment on Option B, including crown-and-bridge work and orthodontics, while Option A has narrower benefits. It does not list implant benefits on either option. Some wording and figures on the general scheme webpage conflict with the detailed table, so ask DENIS to confirm your quote and current remaining limit.
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.
The displayed amounts are the DENIS 2026 table values; confirm them with DENIS where the general website differs.
Option B orthodontics needs authorisation and clinical qualification; the listed age range is 9 to under 18, with family and lifetime limits.
Fluoride benefits start at age 5 and end before 16; sealants have separate under 16 criteria.
Dentures, specialised work and hospital treatment have procedure-specific authorisation and provider rules.
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.