Claim details
My claims
| Name | Benefit |
Service date |
Amount submitted |
Amount eligible |
Percent paid |
Deductible |
Benefit paid |
|---|---|---|---|---|---|---|---|
|
DOE,JOHN |
Dental |
01 Oct 2017 |
$100.00 |
$11.75 |
100 |
$11.75 |
$0.00 |
TOTAL |
|
|
$100.00 |
$11.75 |
|
$11.75 |
$0.00 |
Your electronic claim statement outlines our assessment of your claim.
When will I receive my claim payment?
- With direct deposit, payment is deposited to your bank 1 to 5 business days from the statement date depending on your financial institution.
- If a cheque is issued, it will be attached to your claim statement and arrive by mail 3 to 5 business days from the statement date depending on Canada Post.
What does my plan cover?
How we calculated your benefit payments
Name
DOE,JOHN
Benefit
Dental miscellaneous
The total amount submitted on your claim form for all services and/or patients.
$100.00
The maximum amount that could be paid for this service based on the published provincial or association fee structures for that service.
$11.75
The amount you must pay before benefits become eligible.
$11.75
The amount reimbursed to you after all plan maximums, restrictions and deductions have been applied.
$0.00
The total amount you have been reimbursed.
$0.00
