Dental coverage details
Your dental benefits
If you or your dentist expect a claim to be more than $300, you should submit a pre-determination of benefits before having the treatment so that you can learn what portion of the claim your plan will pay.
Dental Fee Guides:
Dental services for your plan are based on the current approved General Practitioner's Fee Guide for 2012 in the provider's province of treatment.
Refer to your benefits booklet or your plan administrator to clarify how your plan maximums work.
|
|
Benefit | Deductible | Coinsurance | Maximum | Additional information |
|
Preventative Services |
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|---|---|---|---|---|---|
|
Not applicable/Individual |
90% |
$1,500.00/Year |
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|
Not applicable/Individual |
90% |
$1,500.00/Year |
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|
Basic Restorative Services |
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|
Basic |
Not applicable/Individual |
90% |
$1,500.00/Year |
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|
Root canals and gum disease |
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|
Not applicable/Individual |
90% |
$1,500.00/Year |
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|
Not applicable/Individual |
90% |
$1,500.00/Year |
|||
|
Not applicable/Individual |
90% |
$1,500.00/Year |
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|
Oral surgery |
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|
Basic surgery |
Not applicable/Individual |
90% |
$1,500.00/Year |
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|
Not applicable/Individual |
90% |
$1,500.00/Year |
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|
Major surgery |
Not applicable/Individual |
90% |
$1,500.00/Year |
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|
Bridges, crowns and dentures |
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|
Not applicable/Individual |
90% |
$1,500.00/Year |
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|
Not applicable/Individual |
50% |
$1,500.00/Year |
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|
Orthodontics |
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|
Basic |
Not applicable/Individual |
50% |
$0.00/Year |
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