DENTAL GAP COVER

A cost effective solution to fund your dentalcare needs.

This innovative cover pays a stated amount for your general dentistry, emergency, accidental and illness related dental treatment costs.

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Monthly Premiums

COMPREHENSIVE DENTAL GAP COVER
COVER FOR INDIVIDUALS
R149 pm
FAMILY COVER
POLICYHOLDER, SPOUSE AND UP TO 4 CHILDREN
R299 pm
CORE DENTAL
GAP COVER
COVER FOR INDIVIDUALS
R91 pm
FAMILY COVER
POLICYHOLDER, SPOUSE AND UP TO 4 CHILDREN
R183 pm

* Premiums are valid for 2022 and are subject to change on 1 Jan 2023.

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What is Dental Gap Cover?

Dental Gap Cover is a health insurance policy that is designed to assist you and your family in funding the high cost of private dentistry.

Dental Gap Cover provides a solution for all, non-medical aid (private) and medical aid members, to fund their dentistry treatment costs. Even if you are a medical aid member, most medical aid options do not cover their members’ dental treatment costs in full and you would have to carry these shortfall costs personally.

Zestlife offers you a choice of Dentistry Gap Cover options.

Comprehensive Dentistry Gap Cover: Provides funding for a comprehensive range of dentistry treatment costs. High stated cover amounts* are provided to fund in part or whole, the actual costs of dentistry, emergency, accidental, illness related and specialised dental treatment.

Core Dentistry Gap Cover: Provides more affordable funding for frequently incurred dentistry treatment costs. This option pays lower stated cover amounts* to fund in part or whole, the actual costs of dentistry, emergency, accidental and illness related dental treatment costs.

The table below contains the dental claim events that are covered and the benefit amounts covered.

Benefit Claim Events Covered Comprehensive Dental Gap Cover Core Dental Gap Cover
Dentistry Treatment Benefit General dentistry events, including check-ups for treatment of minor dental discomfort and gum disease. R750 per visit, 2 per annum per life insured R500 per visit, 2 per annum per life insured
  Severely decayed or damaged tooth R1 000 payable once per tooth R500 payable once per tooth
  Impacted wisdom teeth R1 500 payable once per tooth R750 payable once per tooth
Emergency Dentistry Treatment Dental abscess R2 500 payable once per tooth every 5 years R1 000 payable once per tooth every 5 years
  Emergency treatment of pain or Infection R2 500 per tooth R1 000 per tooth
Accidental Dentistry Treatment Chipped tooth R1 000 per tooth limited to 2 claims per 12- month period per life insured R500 per tooth limited to 2 claims per 12- month period per life insured
  Fractured tooth R5 000 per tooth R2 000 per tooth
  Knocked tooth loose or out R5 000 per tooth R2 000 per tooth
  Jaw fracture R25 000 per event R15 000 per event
Dentistry Illness Treatment Oral Cancer R25 000 once per person insured, payable on first time diagnosis R15 000 once per person insured, payable on first time diagnosis
Long-Term Dentistry Treatment Dentures R5 500 payable once per upper / lower jaw every 4 years Not covered
  Dental Implant or Bridge R10 000 per tooth lost, limited to one claim in 24 months Not covered

Please download the brochure for more information and to view all the policy terms and conditions.

Please note that Dental Gap Cover is not a medical aid or a substitute for medical aid cover. Dental Gap Cover is a top-up health insurance policy that provides cover for fixed benefit amounts that arise when requiring dental treatment.

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