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Member Application
Get covered in
minutes
.
Compare dental options and pick a cover that suits your smile and your budget.
1 · Choose your cover
Silver
Covers your essential dentistry needs for a minimal premium.
Most popular
Gold
Covers Root Canals and Crowns, which also gives you an increased Specialist Dentistry benefit.
Platinum
The plan covers your everyday dentistry needs, with extra benefits to protect your smile.
Platinum +
The plan covers your everyday dentistry needs, with our highest level of benefits to protect your smile.
2 · Add-ons
Include cover for your
spouse
Children to be covered
Please choose…
None
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2
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6
Adult dependants to be covered
i
Adult Dependent means a child over the age of 21, parent, sibling, or additional spouse (including a customary spouse), who is financially dependent on the member.
None
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3 · Your details
First names
Surname
ID number
Title
Mr.
Mrs.
Miss.
Ms.
Dr.
Prof.
4 · Contact
Preferred language
English
Afrikaans
Zulu
Sepedi
Setswana
Sesotho
Other
Please specify your language
Preferred contact number
Email address
5 · Anything else?
Additional comments
I have read the
Privacy Notice
and consent to my personal information being processed in accordance with
POPIA
.
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