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Dental Pre-authorisation

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Dental Pre-authorisation

Certain dental procedures that are performed in-hospital and out-of-hospital require pre-authorisation, i.e. before they are performed. The POLMED payment rules, clinical protocols and guidelines will also apply.

After assessing the appropriateness of the procedure, POLMED will communicate the outcome of the pre-authorisation request to the member and treating provider.

Please refer to the current POLMED Guide to Your Health booklet for more information about dental benefits and pre-authorisation requirements.

What information does POLMED need in order to provide pre-authorisation for a dental procedure?

  • Full diagnosis of the condition
  • Treatment plan (tariff codes & ICD-10 codes)
  • Clinical motivation
  • Teeth numbers
  • Laboratory codes (where applicable)
  • Clear X-rays

Remember: If the above information is not provided, POLMED may not be able to authorise the procedure.

Click below for an overview of specialised dentistry
Specialised dentistry

Contact details
In-hospital dental procedures pre-authorisation:

Tel: 0860 765 633
Fax: 0860 104 114
Email: polmedauths@medscheme.co.za
Mobi: Download the free POLMED Chat app on your mobile device.
Web: Log in to the Member zone and click on the POLMED Chat widget/icon.

Out-of-hospital specialised dentistry in doctors’ rooms:
Contact POLMED to confirm available benefits and, if required, complete pre-authorisation:
Tel: 0860 765 633
Email: dental.polmeddental@medscheme.co.za
Mobi: Download the free POLMED Chat app on your mobile device.
Web: Log in to the Member zone and click on the POLMED Chat widget/icon.