Dentistry is the evaluation, diagnosis, prevention, and treatment of diseases, disorders and conditions of the oral cavity, maxillofacial area and the adjacent and associated structures and their impact on the human body.

The Scheme provides unlimited benefits for certain major and trauma-related dental procedures. These procedures are certain severe infections, jaw-joint replacements, cancer-related and certain trauma-related surgery, cleft-lip and palate repairs and are normally performed in-hospital. These procedures require preauthorisation.

Cover for dentists is dependent on your Benefit Option.

	In hospital	Out of hospital
LA Comprehensive	Specialised dentistry The hospital account will be subject to a co-payment paid from the member`s available MSA or by the member if the MSA is exhausted. The remainder of hospital account is paid by the Scheme, subject to a joint overall limit per person for specialised and basic dentistry. All related, non-hospital accounts (for the surgeon and anaesthetist) are paid from, and limited to, funds in the MSA or the Above Threshold Benefit (ATB). Subject to preauthorisation Please refer to your benefit brochure for the applicable limit amount and co-payment	Basic dentistry Benefits are paid from and limited to funds in MSA and the ATB. All basic dentistry benefits allocate to, and are subject to, the joint overall limit per beneficiary for the year.
LA Core	Specialised dentistry The hospital account will be subject to a co-payment paid from the member`s available MSA or by the member if the MSA is exhausted. The remainder of hospital account is paid by the Scheme, subject to a joint overall limit per person for specialised and basic dentistry. All related, non-hospital accounts (for the surgeon and anaesthetist) are paid from, and limited to, funds in the MSA or the Insured Procedures Benefit (IPB). Subject to preauthorisation. Please refer to your benefit brochure for the applicable limit amount and co-payment	Basic dentistry Benefits are paid from and limited to funds in MSA and IPB. All basic dentistry benefits allocate to, and are subject to, the joint overall limit per beneficiary for the year.
LA Active	Specialised dentistry The hospital account will be subject to a co-payment paid from the member`s available MSA or by the member if the MSA is exhausted. The remainder of hospital account is paid by the Scheme, subject to a joint overall limit per person for specialised and basic dentistry. All related, non-hospital accounts (for the surgeon and anaesthetist) are paid from, and limited to, funds in the MSA or the Insured Procedures Benefit (IPB). Subject to preauthorization Please refer to your benefit brochure for the applicable limit amount and co-payment	Basic dentistry Cover to the value of R2 440 is paid for by the Scheme whereafter further benefits are paid from, and limited to, funds in MSA and IPB. All basic dentistry benefits allocated to and are subject to the joint overall limit per beneficiary for the year.
LA Focus	Specialised dentistry The hospital account will be subject to a co-payment paid from the member`s available MSA or by the member if the MSA is exhausted. The remainder of hospital account is paid by the Scheme, subject to a joint overall limit per person for specialised and basic dentistry. All related, non-hospital accounts (for the surgeon and anaesthetist) are paid from, and limited to, funds in the MSA. Subject to preauthorisation. Please refer to your benefit brochure for the applicable limit amount and co-payment	Basic dentistry Paid from, and limited to funds in MSA, subject to the joint overall limit per beneficiary for the year.
LA KeyPlus	Subject to preauthorisation	Basic dentistry Full cover with no overall benefit limit, subject to a list of procedures performed by a dentist in the KeyCare network.