GEMS has designed the dental benefit to ensure that members have access to cost-effective, quality dental healthcare. It is important for you to have regular dental check-ups.
What if I need dental treatment under general anaesthetic?
You need pre-authorisation for all procedures that require general anaesthetic or conscious sedation. If you are older than six years, your treating dentist or dental specialist must give us the medical reason as to why general anaesthetic or conscious sedation is required for the dental treatment.
Please ensure you contact us to get pre-authorisation for hospitalisation at least 48 hours before treatment, unless it is an emergency.
Pre-authorisation means that you must get the Scheme's permission to use certain medicine or undergo a certain procedure at least 48 hours before it happens. If you do not do this, you will have to pay a penalty of R1 000 out of your own pocket.