Benefit Amount:

Reimbursement:   
Provincial Fee Guide of employee’s home province for the year determined from time to time by the Trustees.

Deductible:   
Nil

Percentage Payable: 
Basic Procedures:  
100%

Major Procedures 50%

Endodontic/  Periodontic:  
100%

Oral Surgery:   
100%

Calendar Year Maximum for Basic and Major Procedures combined:  
$1,500 per individual

Limits:  

1. 1 complete examination every 24 months
2. 1 full mouth x-ray every 24 months
3. 1 recall or specific examination, including polishing and cleaning, every 6 months
4. Oral Hygiene Instruction once every 6 months
5. 8 units scaling or root planning per calendar year (2 units for dependent children under age 13)
6. 8 units occlusal equilibration per calendar year
7. Denture Relines/Rebases/Repairs once every 24 months
8. Bridges and Crowns must be 5 years old to be replaced

Orthodontic Treatment:  
50% Payable

Orthodontic Maximum:  
$1,000 Lifetime

Must be under age 19 to claim Orthodontic benefit.