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:
80%
Major Procedures
50%
Endodontic/ Periodontic:
80%
Oral Surgery:
80%
Prosthodontics - Fixed
50%
Prosthodontics - Removable
80%
Calendar Year Maximum for Basic and Major Procedures combined:
$2,000 per individual
Limits:
1 complete examination every 24 months
1 full mouth x-ray every 24 months
1 recall or specific examination, every 6 months
10 units scaling or root planning per calendar year (1 units for dependent children under age 13)
Denture Relines/Rebases/Repairs every 24 months
8 units for occlusal equilibration per calendar year.
Bridges and Crowns must be 5 years old to be replaced
Polishing/ Flouride and Scaling, every 24 months