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.
Documents You Might Need
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.
YOU MAY ALSO BE INTERESTED IN:
Gap Cover – Protect yourself and your family against unexpected medical expense shortfalls when doctors and specialists charge more than what your medical aid pays.