|
Plan Item |
Coverage Level |
|
Dental Care |
Plan 84500 |
| Maximum |
$1525 per year (Note: for employees hired
between July 1st and December 31st, in their
first partial year of coverage, the maximum
will be $762) |
| Deductible |
$35 per year |
| Visits per year under 18 |
Once every 6 months (2 per year) |
|
Visits per year
(adults and child 18 and over) |
Once every 9
months |
| Routine treatment |
100% |
| Preventive diagnostics |
100% |
| Extractions and oral surgery |
100% |
| Minor restorations and fillings |
100% |
| Periodontics |
100% |
| Gum and tissue |
100% |
| Endodontics - pulp and root
canal |
100% |
| Major Treatment |
50% |
| Crowns and inlays |
50% |
| Prosthodontics |
50% |
| Bridge and Dentures |
50% |
| Orthodontics (Child at least 6
years of age) |
80% to a lifetime maximum of
$1500 |
| Braces and corrective devices |
Yes |
| Pit and fissure |
100% for a child under 18 |
|
*Claim amounts will be based on the current specialist
fee schedules in your province of residence |