Dental Care Benefit. Dental Care Benefits are provided for you and your eligible dependents subject to the limitations and exclusions described below. Eligible services are all reasonable and customary dental services which are recommended as necessary and performed by a qualified dentist or physician and for which a Treatment Plan has been submitted to and approved by the insurer before the services are rendered. The filing of a Treatment Plan is not required if the total cost of the proposed work is less than $500 or if treatment is rendered in emergency conditions. Eligible dental services are classified under three major categories:
Dental Care Benefit. Claim must be submitted by the end of the calendar year following the year in which the expense was incurred except that proof of claim must be submitted within 90 days of the date on which your insurance is cancelled for any reason. A separate claim form must be filled out for each member of your family for whom you are making claim. The dentist's statement on this form, or any bills supporting your claim, must show the patient's name, dates and nature of the treatment and the charge. If the total cost associated with proposed dental work is $500 or more, a Treatment Plan must be submitted to the insurer as explained in Section 9. You should have your dentist complete a claim form setting out details as to the proposed treatment and the cost and send this form to the insurance company for their review. You will then be advised as to the charges, or portion thereof, which the insurer considers eligible for benefits. Upon completion of the dental treatment you again submit a claim to receive payment of the approved benefits. Failure to see your doctor promptly or to submit your claim together with the doctor's or dentist's report or other itemized statements within the above time limits will result in the rejection of your claim.
Dental Care Benefit. Network Dental examinations including cleaning and bitewing x-rays will be available to covered individuals twice each year subject to a $20 copayment. The insurance carrier will establish an adequate network of dental providers to provide these services along with a discount on all other dental procedures. Coverage is provided for two fillings per year for an additional $10 copayment per filling.
Dental Care Benefit. The Employer agrees to pay one hundred percent (100%) of the billed premium, subject to any applicable deductible(s), toward coverage of each Eligible Employee who qualifies and remains eligible for coverage.
Dental Care Benefit. The Employer shall make dental care available at its School of Dentistry to the employee, the employee's spouse or legally domiciled adult and dependents (dependents shall be as defined for Internal Revenue Service purposes). Such dental care shall be rendered in a manner consistent with the rules and regulations of the Dental Clinic and only on the same basis as available to members of the public. The fee for such services shall be waived for the employee, the employee's spouse or legally domiciled adult and dependents, up to a cap of $3,000 per individual per calendar year. Beyond the $3,000 cap amount, employees will be responsible to pay 25% of any remaining fees for the balance of that year.
Dental Care Benefit. Eligibility As a full-time active employee of Employer who works at least 30 hours per week, you and your eligible dependents are entitled to Dental Care Benefits at no cost to you. Waiting Period First of the month following 2 months of employment. Dental Fee Guide Current Fee Guide for General Practitioners for your province of residence. Benefit Percentage 100% for Plan A 100% for Plan B 50% for Plan C 50% for Plan D Benefit Maximums Effective April 20, 2014: Basic and Preventative Treatment Endodontics, Periodontics, Oral Surgery Major Restorative Treatment Orthodontic Treatment $2,200 per calendar year combined for Plan A, B and C, and $3,000 lifetime for Plan D - Orthodontic Services Eligible Expenses The following are covered expenses when they are incurred for the necessary dental care of an insured person. Orthodontic services are limited to your dependent children. Plan A - Eligible Expenses complete oral examinations - once in any 24 month period recall oral examinations - once in any 6 month period emergency or specific oral examinations complete series of periapical films and panoramic film - each limited to one in any 24 month period bitewing films and x-rays to diagnose a symptom or examine progress of a particular course of treatment other than temporamandibular joint film 45 laboratory examination and unmounted diagnostic casts other than duplicates consultation with another dentist house or hospital call and after-hours office visit prophylaxis (light scaling and polishing) - once in any 6 month period topical application of fluoride and anti-cariogenic substances - once in any 6 month period pit and fissure sealants space maintainers for missing primary teeth and mouthguards temporary dressing for the emergency relief of pain occlusal equilibration amalgam, acrylic, silicate or composite restorations (fillings) retentive pins preformed stainless steel and polycarbonate crowns uncomplicated removal of erupted teeth and the surgical removal of impacted teeth and residual roots repair, rebasing and relining of partial or complete dentures, not including the replacement of teeth on a denture repair of fixed bridgework anaesthesia required in relation to dental surgery. Endodontics, Periodontics, Oral Surgery - Plan B endodontics -treatment of disease of the pulp chamber and pulp canals (root canal therapy}. * Please note that with respect to root canal therapy, the date of your final treatment will be considered the date that expense was inc...
Dental Care Benefit. Dental care benefits are provided for you and your eligible dependents subject to the limitations and exclusions described below. Eligible services are all reasonable and customary dental services which are recommended as necessary and performed by a qualified dentist or physician and for which a Treatment Plan has been submitted to and approved by the insurer before the services are rendered. The filing of a Treatment Plan is not required if the total cost of the proposed work is less than $500 or if treatment is rendered in emergency conditions. Eligible dental services are classified under three major categories: Basic Services - examinations and cleaning of teeth (once in any six-month period), fillings, fluoride treatment for dependants under 18 years old or if medically required and other necessary treatment for the relief of dental pain. Restorative Services - crowns and inlays, bridge work, dentures, root canal therapy (endodontics), and the treatment of tissues and bones supporting the teeth (periodontics). Orthodontia – extractions, proper fitting of natural teeth and prevention or correction of irregularities of the teeth. You will be reimbursed for 90% of the cost of eligible Basic Services incurred by you or your eligible dependents up to a maximum for each insured person of $1000 in a calendar year. After January 12, 2012 you will also be reimbursed for 50% of the cost of Restorative Services and 50% of the cost of Orthodontia to a lifetime maximum benefit of $7,000 for each insured person for Restorative Services and Orthodontia combined. An annual reinstatement of up to $700 will be provided at the beginning of each calendar year, if required, to restore the lifetime maximum to the level of $7,000. At no time will the maximum exceed the original amount. Benefits will be paid on the basis of the lesser of the actual fee charged or the amount stated in the Current Fee Schedule in the province in which you reside. If optional procedures are possible, benefits will be payable in accordance with the procedure involving the smallest fee. Expenses incurred for the replacement of dentures are eligible for benefits, except that if the replacement is for a denture for which benefits were payable under this plan, benefits for the replacement will be payable only if at least 3 years have elapsed since the placement or replacement for which benefits were paid. In addition, benefits are payable for rebasing, relining or repairing of dentures. Benefits wi...
Dental Care Benefit. As a full-time active employee of who works at least hours per week, you and your eligible dependants are entitled to Dental Care Benefits at no to you. First of the month following months of employment. Current for General Practitioners for your province of for Pian A Basic and Treatment for Plan E Endodontics, Oral Surgery for Plan C Major RestorativeTreatment for Plan Orthodontic Treatment.
Dental Care Benefit. If you are charged as each treatment Is performed, you will reimbursed as charge is Incurred to the lifetime maximum of When are two or more courses of dental Irealment available lo adequately a dental condillon, dental pian will provide reimbursement for the treatment which Incurs the lowest consistent good dental care. Reimbursement of lab fees will be limited to the reasonable and customary charge In area of service up to a maximum of of the suggested current fee guide for the particular dental treatment requiring the lab If the cost of any proposed is expected lo exceed ilis you submit to a detailed plan that type and anticipated dates of treatment and proposed charges. The Carrier will then you of the amount for which you will be reimbursed. you change dentists at any during the course of treatment, a new treatment pian will be required for reassessment. you and your family are covered under the TERANET dental plan and your spouse's dental plan, the benefits payable under the TERANET plan will be co-ordinated so the amount you receive from both plans will not exceed of actual expense incurred. Reimbursement will be provided emergency dental treatment rendered while travelling Canada only lo the extent that you would have been reimbursed had this treatment been rendered In the province where you normally
Dental Care Benefit. The Board shall provide a dental plan with 80% coverage for type I benefits, 80% coverage for type II benefits, 80% coverage for type III benefits, a $1000 annual maximum, 80% coverage for orthodontic services, and a $3000 orthodontic lifetime maximum.
