Reimbursement:
Provincial Fee Guide of employee’s home province for the year determined from time to time by the Trustees.
Benefit Amount
Deductible:
Nil
Percentage Payable:
Basic Procedures:
100%
Major Procedures
50%
Endodontic/ Periodontic:
100%
Fixed and Removable Prosthodontics:
50%
Oral Surgery:
100%
Calendar Year Maximum for Basic and Major Procedures combined:
$2,000 per individual
Limits:
1 complete examination every 36 months
1 full mouth x-ray every 36 months
1 recall or specific examination, including polishing and cleaning, every 9 months
Oral Hygiene Instruction once every 9 months
10units scaling or root planning per calendar year (2 units for dependent children under age 13)
8 units occlusal equilibration per calendar year
Denture Relines/Rebases/Repairs once every 36 months
Bridges and Crowns must be 5 years old to be replaced
Orthodontic Treatment:
50% Payable
Orthodontic Maximum:
$2,000 Lifetime
Must be under age 19 to claim Orthodontic benefit.