myD and dencover

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For all your questions about our products, dental plans….

Here you’ll find the answers to frequently asked questions about dencover’s products, plans and jargon busting terms.

Jargon buster

Here we’ll help you to understand some of the commonly used jargon within dental insurance.
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Additional adult

By additional adult, we mean your spouse, partner, siblings, children above 18 years old or parents who live in the same property as you. Up to 3 additional adults are allowed on the same level of cover as you and you must pay a premium for each insured adult.

Clinically necessary

treatment recommended by a dentist or specialist to ensure the maintenance of good oral health.

Cosmetic or aesthetic procedures

treatment to improve your appearance but not clinically necessary such as tooth bleaching and whitening, including laser treatment to whiten your teeth.

Reimbursement

This is the amount you will be paid by dencover following receipt of a valid claim. This will be calculated based on your policy and benefit entitlements.

Treatment

By treatment, we mean any listed dental procedure shown on the benefit schedule which is carried out to maintain or restore your dental health, including treatment as a result of an accident/injury and treatment for mouth cancer.

Emergency

We will cover urgent treatment completed during a single emergency appointment for severe pain or trauma to your teeth or mouth, including trauma that prevents you eating, acute infection(s), or stopping bleeding after removal of a tooth. This does not include any permanent work received during an emergency appointment - this will be subject to your routine policy benefits.

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