Discovery Health’s Dental Rates and Benefits for 2014

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Click here for 2014 Dental Tariffs Pack

 

Discovery Health firmly holds the view that dentists should be appropriately remunerated and has consistently led the industry in the tariffs paid to dentists.

In 2014, we will increase the Discovery Health Rate by 6%. We are pleased to note that this is in excess of prevailing CPI at 5.5%.

We will publish the detailed rates on www.discovery.co.za from mid-December 2013.

 

We need place of service indicators on accounts

 

In 2011 we enhanced our dental benefits to allow funding of in-hospital dentistry from the Scheme’s risk pool, where the place of service indicator serves to trigger the payment from risk without the need to get authorisation. Please submit the following place of service indicators when applicable:

21 Inpatient Hospital

24 Day Clinical/Hospital

11 Consulting room

Please note that risk cover for members older than 13 years does not extend to basic dentistry in hospital such as fillings, root canal treatment and preventive treatments. These procedures are covered under the day-to-day benefit regardless of the place of service.