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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Qualifying period

This is the set amount of time you'll need to wait before you can claim for certain treatments. Please see the Table of Benefits to see what qualifying periods apply to your cover. The qualifying period applies to each member

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.

Clinically necessary

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

Mouth cancer

By mouth cancer, we mean a malignant tumour, tissue or cells, primarily in the oral cavity, lips, tongue or pharynx, characterised by the uncontrolled growth and spread of malignant cells and the invasion of tissue. Mouth cancer cover will end if you leave or cancel your policy and cannot be claimed again if you start a new policy at another time.

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.

Benefit limit

The most we will pay per year (unless otherwise stated) for treatment listed in the table of benefits

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