2026 benefit year · compiled from the scheme’s published documents
SAMWUMED dental benefits, in plain language
SAMWUMED, the restricted scheme for municipal workers, funds dentistry identically on both of its options (A and B): as an insured benefit paid from scheme risk, managed by DENIS. There's no savings account being drained by your check-ups.
Each person gets two check-ups a year, six months apart, and the conservative list is genuinely broad: consultations, X-rays, cleans, fillings and restorative work, extractions, pain-and-sepsis treatment, and dentures with the laboratory costs included. Children under 16 also get fissure sealants and fluoride, and an extraoral X-ray is covered once every three years. The rand limits sit in the DENIS SAMWUMED 2026 table.
The ceiling comes at the advanced end: specialised dentistry is limited to PMB-level cover, subject to managed-care protocols and pre-authorisation — and if orthodontics is on your family's horizon, treatment must start before age 18.
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Call nowHow it works at our practice
We claim directly from medical aids. Before treatment we do a benefit check with your scheme — bring your card and your option name — so you know what your plan pays before you sit in the chair. You pay only co-payments and anything your plan doesn’t cover or has already used up. And as always: we quote before we treat.
Option by option
As published for the 2026 benefit year (checked 2026-07-29). Benefits are re-registered every year and can change — the benefit check is what makes it certain for you.
All options (A & B)
Check-up covered- Routine check-up
- Yes - 2 check-ups/yr
- What that includes
- 2 check-ups pp/yr (6-monthly); consults, X-rays, cleans, fillings & restorative, extractions, pain & sepsis, dentures + lab; 1 extraoral X-ray / 3 yrs; sealants & fluoride <16
- Paid from
- Insured (risk), DENIS-managed
- 2026 limits
- Per DENIS SAMWUMED 2026 table
- Network rule
- DENIS network arrangements; confirm provider
- Co-payments & gaps
- Advanced dentistry limited to PMB + pre-auth; ortho must start <18
Worth knowing before you book
- Advanced (specialised) dentistry is limited to PMB-level cover, subject to protocols and pre-authorisation.
- Orthodontic treatment must start before age 18.
- An extraoral X-ray is covered only once every three years.
- DENIS network arrangements apply — confirm your provider's arrangement before treatment.
Tell us your option — we’ll check your benefits before you visit.
This page describes the scheme’s published benefits — it isn’t financial advice, and every treatment plan here starts with a benefit check and a quote.