Dental Care

The dental care benefit for members and eligible dependents is determined by your collective agreement and/or your wallet identification card.

Please click on the service that you would like more information about.

Plan	Services	Maximum Amount	Time Period	Coverage
A	Basic	$1,250	Per Calendar Year	80%
B (includes A)	Basic and Minor Restorative	$1,250	Per Calendar Year	100%
C (includes A & B)	Major Restorative	$1,250	Per Calendar Year	50%
D (includes A,B & C)	Orthodontic	$2,200	Per Lifetime	50%

Note: The percentages above refer to the amount paid by the service provider and are based on the current dental fee guide for general practitioners of the province where the treatment is provided as of January 1 each year.

Before You Go . . .

If the cost of any proposed dental treatment is expected to exceed $500, it is suggested that you submit a detailed treatment plan, available from your dentist, before the treatment begins. You can then be advised of the amount you are entitled to receive under this benefit.

Who Pays the Initial Bill?

Eligible dental claims may be paid either directly to the dentist (assignment of benefits) or directly to you. If the claim is paid to you, then you are responsible for paying the dentist. If you do not indicate on the dental claim form how the claim is to be reimbursed, the payment will be sent to you.

Basic Services

You and your dependents are covered for the following services:

• one complete oral exam in any 24 consecutive months
• full mouth x-ray during any 24 consecutive months
• recall exams, bitewing x-rays, and fluoride treatments, and polishing, once every 9 months
• light scaling (up to 8 units)
• routine diagnostic and laboratory procedures
• one visit for oral hygiene instruction in any 9 consecutive months
• fillings, and pit and fissure sealants
• pre-fabricated full coverage restorations (stainless steel crowns), for dependent children under age 12, excluding crowns of porcelain fused to metal, acrylic, plastic, gold, porcelain, and other substances
• space maintainers (applicable only to dependent children)
• minor surgical procedures and post surgical care
• extractions (including impacted and residual roots)
• consultation, anesthesia, and conscious sedation when administered by a dentist in conjunction with dental surgery
• denture repairs, relines, and rebases
• injection of antibiotic drugs when administered by a dentist in conjunction with dental surgery
• Bruxism appliance

Basic & Minor Restorative Services – Plan B

In addition to the services outlined under plan A, you and your dependents are also covered for the following:

• periodontic services (treatment of gum disease), not to exceed a total of 16 units
• endodontic services, which include root canals and therapy, root amputation, apexifications, and periapical services

Major Restorative Services – Plan C

In addition to the services outlined under plans A and B, you and your dependants are also covered for the following:
 

• crowns and onlay (exclusion: replacement of a crown that is less than 60 months old)
• surgical procedures not included in plans A or B (exclusion: implant surgery)
• initial provision of fixed bridgework (exclusion: bridgework required solely to replace a natural tooth that was missing prior to becoming insured)
• replacement of bridgework, provided the new bridgework is required because:
  
  • a natural tooth is extracted and the existing appliance cannot be made serviceable
  • the existing appliance is at least 60 months old
  • the existing appliance is temporary and is replaced with the permanent bridge within 12 months of its installation
• initial provision of full or partial removable dentures (exclusion: replacement of dentures within the first 12 months of becoming insured)
• replacement of removable dentures, provided the dentures are required because:
  
  • a natural tooth is extracted and the existing appliance cannot be made serviceable
  • the existing appliance is at least 60 months old
  • the existing appliance is temporary and is replaced with the permanent dentures within 12 months of its installation

Orthodontic Services – Plan D

In addition to all services outlined in plans A, B, and C, you and your dependents are covered for orthodontic services.

Return to top