Many medical aid schemes in South Africa offer partial coverage for braces and orthodontic treatments, but the amount of coverage depends on your specific plan.
Typically, comprehensive medical aid plans include orthodontic benefits, while more basic plans might not.
It’s important to review your policy or contact your provider to determine if your medical aid covers braces and what the limits are.
What to Check with Your Medical Aid Provider:
- Coverage Amount: Some plans cover a percentage of the cost or a set limit.
- Eligibility: Confirm if orthodontic treatment for adults or children is covered.
- Pre-Authorization: Some medical aids require pre-authorization before braces treatment begins.
- Plan Type: Check if you have a hospital plan (which often excludes braces) or a comprehensive plan that may cover it.
How Medical Aid Helps:
- Cost Reduction: While full coverage is rare, medical aid can significantly reduce the total cost of braces by covering part of the treatment.
- Payment Plans: Medical aid can help offset costs in conjunction with orthodontist payment plans.
To learn more about orthodontic treatment and medical aid options, check out our guide on Braces Cost in Pretoria.
Call to Action
Looking for braces with medical aid coverage? Mac Dental Studio offers comprehensive orthodontic care and will help you navigate your medical aid benefits.
Book your consultation today by visiting our appointment booking page or calling 012 440 1395.
FAQs
Does medical aid cover braces in South Africa?
Some medical aids offer partial coverage for braces, but the level of coverage varies based on the plan.
Do all medical aid plans cover orthodontics?
Not all plans cover orthodontics. Typically, comprehensive plans are more likely to offer coverage, while hospital plans may not.
How much of the braces cost is covered by medical aid?
The coverage amount depends on your plan. Some medical aids cover a percentage, while others provide a fixed amount toward orthodontic treatment.
Can I get braces for my child with medical aid?
Yes, many medical aid plans cover orthodontic treatment for children, but you should confirm with your provider.
Do I need pre-authorization for braces with medical aid?
Some medical aid schemes require pre-authorization before beginning orthodontic treatment, so it’s best to check with your provider beforehand.
