2026 benefit guide · confirm your current option with the scheme
Sizwe Hosmed: what to confirm before dental treatment
Sizwe Hosmed’s dental funding depends on the named option. On Value Platinum and Value Platinum Core, the official 2026 page places conservative dentistry in the Medical Savings Account and advanced dentistry in risk benefits, subject to Dental Risk Company authorisation and protocols. The Core variant has different hospital-network requirements.
The Value options’ overall day-to-day structure includes a self-payment gap and above-threshold benefits, so an empty savings balance alone does not settle whether a particular dental code can be funded. Gold Ascend lists its own conservative dental services, including two consultations and a four-year plastic-denture cycle; those rules should not be extended to every other Sizwe option.
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.
Ask DRC which funding source and current limit apply to each treatment code, rather than treating the whole day-to-day balance as dental cover.
The official pages do not establish every advanced dental rand limit or entitlement to braces and implants; obtain a treatment-specific answer.
Scheme tariffs and provider rules can leave a difference to pay even when a service is listed.
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.