DENTAL
Benefit: 80% coverage of Basic, Endodontic and Periodontal services with 50% coverage of Major services. There is no deductible. Benefits are based on your Province’s current Dental Fee Guide and have a $1,500 maximum per person per calendar year. This option includes a 24-month Survivor’s Benefit.
Covered Procedures:
Basic services covered at 80%:
- Recall Exams (Check-up) – 2 times per calendar year
- Complete Exams (Dental history) – once every 3 years
- Tests, lab exams, treatment planning
- Fluoride treatments – 2 times per calendar year
- Scaling
- Polishing – 1 unit, 2 times per year
- X-rays including 1 full mouth series and panoramic film every 24 months – Consultations / Pit and fissure sealants
- Space maintainers for children
- Fillings (nonbonded, composite, acrylic & silicate)
- Extractions of impacted teeth and simple extractions
- Oral surgery and general anaesthesia
- Relining and rebasing of dentures
- Repairs to dentures / fixed bridgework
Endodontic and Periodontal servicescovered at 80%:
- treatment of disease of the pulp chamber and canals of the teeth (root canals, pulpectomy)
- treatment of the gums and bones supporting teeth (major scaling, periodontic surgery & appliances) – additional scaling units (to a reasonable and customary amount)
Major services covered at 50%: – Crowns
- Replacement of crowns (existing crown must be 4years old)
- Fixed bridgework (at least one natural tooth extraction while insured) – Replacement of bridgework (existing bridge must be 5 years old)
- Dentures (at least one natural tooth extraction while insured)
- Replacement of dentures (existing dentures must be 5 years old)
- Denture adjustments (once every 6 months)
24-month Survivor Benefit for a deceased employee’s insured spouse and dependents.
This summary provides a general overview of the key features of your Dental Benefits. Some restrictions may apply.