Menumenu button


Payment of dental benefits is based on the General Practitioners Dental Association suggested fee guide or the Insurance Reimbursement Rate set by the Canadian Life and Health Insurance Association Inc. (CLHIA) when a fee guide is not available. For services provided by a dental specialist, payment is based upon the General Practitioners Dental Association suggested fee guide.

Alternate Benefit - When there are two or more courses of treatment available to adequately correct a dental condition, reimbursement may be based on the cost of the least expensive treatment, which provides adequate care to the insured.

IMPORTANT! Please submit a pre-determination/pre-authorization to the insurance carrier prior to treatment of specialist services and any treatment plan exceeding $500.

Your plan covers up to a maximum of $750 per benefit year.

Preventative Services

Your plan covers 90% for preventative services, including:
• recall examination, once every 12 months
• initial or complete exams, once every 36 months
• specific or emergency exams
• complete series of x-rays (not eligible for dependents under 12) and periapical, up to 16 films     including bitewings, 1 in any period of 36 months
• bitewings, not more than 4 films every 12 months
• panoramic, 1 in any period of 36 months
• polishing, 1 unit every 12 months
• scaling, 4 units per benefit year
• fluoride, every 12 months
• oral hygiene instruction, once every 12 months
• pit and fissure sealants
• removal of impacted teeth
• anaesthesia, eligible when done in conjunction with a covered dental procedure
• space maintainers and maintenance, under 15 years of age

Basic Services
Your plan covers 80% for basic services, including:
• fillings; amalgam, composite, acrylic or equivalent. You are only covered for composite fillings
in front teeth and pre-molars

Other Basic Services
Your plan covers 60% for other basic services, including:
• extractions, anaesthesia, eligible when done in conjunction with oral surgical procedures.
Except removal of impacted teeth which is covered under Preventative Services.
• root canal therapy
• prefabricated metal restorations and repairs to prefabricated metal restorations other than in conjunction with the placement of permanent crowns
• root canal therapy
• root planing and occlusal equilibration are each limited to 8 units per benefit year
• oral surgery

Service Members

Find a Practitioner/Pharmacy