DENTAL EXPENSE BENEFIT. The Company will provide dental expense benefits according to this section 1.03 for employees and their dependents, following completion of their probationary period.
1. Maximum benefits - The maximum benefit amount payable for basic and major services combined is $1750 per calendar year and $1750 effective April 1, 2005, $1800 effective April 1, 2006 and $1900 effective April 1, 2007 and $1950 effective April 1, 2008 for a lifetime for orthodontic services.
2. Treatment plan - When the total cost of proposed dental work is expected to exceed $300.00, the Company recommends that a treatment plan be filed for benefit determination prior to the date treatment is rendered.
3. Eligible Expense - Eligible expenses are those which are recommended as necessary by a physician or dentist that are not in excess of the suggested fee for general practitioners in the 2008 Dental Fee Guide effective April 1, 2009, and the 2009 Dental Fee Guide effective January 1, 2010, and the 2010 Dental Fee Guide effective January 1, 2011, the 2011 Dental Fee Guide effective January 1, 2012 or the minimum fee specified in the 2008 Denturist Fee Guide effective April 1, 2009 , the 2009 Denturist Fee Guide effective January 1, 2010, the 2010 Denturist Fee Guide effective January 1, 2011, the 2011 dental fee guide effective January 1, 2012 of the Province of Ontario. The Company reserves the right to use the least expensive method of treatment that would provide a professionally adequate result. The eligible expenses are limited to the following: Complete oral examination (once every 24 months) ** (once every 36 months - adults only) Limited oral examination, previous patient(once every 9 months) Limited oral exam, new patient (once in 36 months) Specific oral exam Emergency examination Mixed dentition analysis (once every 24 months) Miscellaneous comprehensive or general oral exam Miscellaneous specified oral examination Radiographic examination (x-ray) complete series intra oral films (once every 24 months) complete series intra oral films(once every 36 months) Periapical films Occlusal films Posterior bite-wing films (once in 9 consecutive months per adult), (twice in any 12 months per child) Extra oral x-rays Panoramic film (twice in any 12 months per child), (once every 36 months per adult) Interpretation of radiographs from another source Duplicate x-rays Microbiological test Histological test Cytological examination Pulp vitality test Laboratory reports Diagnostic casts Prophylax...
DENTAL EXPENSE BENEFIT. The plan will provide for reimbursement of eligible expenses incurred by an eligible employee or eligible dependant as set forth in the following schedule: – 100% of Basic and Rider No. 1 eligible expenses – 50% of Rider No. 2 eligible expenses – 50% of Rider No. 4 eligible expenses Reimbursement will be on the basis of reasonable and cus‑ tomary charges, and limited to the 2008 Schedule of Fees of the Ontario Dental Association for expenses incurred on or after June 1, 2009; and limited to the 2009 Sched‑ ule of Fees of the Ontario Dental Association for expenses incurred on or after June 1, 2010; and limited to the 2010 Schedule of Fees of the Ontario Dental Association for ex‑ penses incurred on or after June 1, 2011; and limited to the 2011 Schedule of Fees of the Ontario Dental Association for expenses incurred on or after June 1, 2012.
DENTAL EXPENSE BENEFIT. The Company will provide dental expense benefits according to this section 1.03 for employees and their dependants, following completion of their probationary period.
1. Maximum benefits - The maximum benefit amount payable for basic and major services combined is $1550.00 per calendar year and $1550.00 for a lifetime for orthodontic services, effective October 1, 2006; $1600.00 per calendar year and $1600.00 for a lifetime for orthodontic services, effective October 1, 2007; $1650.00 per calendar year and $1650.00 for a lifetime for orthodontic services, effective October 1, 2008.
2. Treatment plan - When the total cost of proposed dental work is expected to exceed $300.00, the Company recommends that a treatment plan be filed for benefit determination prior to the date treatment is rendered.
3. Eligible Expense - Eligible expenses are those which are recommended as necessary by a physician or dentist that are not in excess of the suggested fee for general practitioners. The Company reserves the right to use the least expensive method of treatment that would provide a professionally adequate result. The eligible expenses are limited to the following: Complete oral examination (once every 2 years) **(once every 3 years - adults only) Recall oral examination (twice every 12 months) Emergency examination Specified oral area examination Radiographic examination (x-ray) complete series intra oral films (once every 2 years) Periapical films Occlusal films Posterior bite-wing films (twice in any 12 months) Panoramic film (once every 24 months) Interpretation of radiographs from another source Biopsy, soft-hard tissue Cytological examination Pulp vitality test Diagnostic casts Scaling and polishing (twice in any 12 months) **(once in 9 months - adults only) Fluoride treatment (twice in any 12 months) **(once in 9 months - adults only) Oral hygiene instruction (once every 12 months) Plaque control program (once only, family maximum of ($50) Caries/pain control Interproximal discing of teeth Space maintainers Nutritional counselling (once every 24 months per family) Polishing and finishing restorations Occlusal pit and fissure sealants Protective Athletic Mouth Appliance (once yearly) Emergency procedures Surgical Incision Miscellaneous surgical services Drugs (injections) Treatment planning Consultation with patient Amalgam restorations Primary teeth Permanent anterior and bicuspid teeth Permanent molar teeth Pin reinforcement Silicate restorations Acrylic or comp...
DENTAL EXPENSE BENEFIT. The plan will provide for reimbursement of eligible expenses incurred by an eligible employee or eligible dependant as set forth in the following schedule: - 100% of Basic Services (see plan booklet) - 50% of Major Services (see plan booklet) Reimbursement will be on the basis of reasonable and customary charges, and limited to the 2020 Schedule of Fees of the Ontario Dental Association for expenses incurred on or after January 1, 2021; and limited to the 2021 Schedule of Fees of the Ontario Dental Association for expenses incurred on or after January 1, 2022; and limited to the 2022 Schedule of Fees of the Ontario Dental Association for expenses incurred on or after January 1, 2023.
DENTAL EXPENSE BENEFIT. The Company will provide all eligible employees and eligible dependents the Dental Plan benefits as follows: Restorative services dentures of applicable Dental Fee Guide. An employee with seniority and his eligible dependants shall become eligible for Dental Plan Benefits on the first of the month following the completion of six months of continuous service with the Company. Regardless of the Procedure Codes used from year to year, the Company will ensure that the Dental Benefits continue to be covered as specified above. Coverage will be based on the ongoing Ontario Dental Association Schedule fee guide from the year previous to the present year for the following oral care expenses:
DENTAL EXPENSE BENEFIT. The Company will provide dental expense benefits according to this section 1.03 for employees and their dependants, following completion of their probationary period.
1. Maximum benefits - The maximum benefit amount payable for basic and major services combined is $1550.00 per calendar year and $1550.00 for a lifetime for orthodontic services, effective October 1, 2006; $1600.00 per calendar year and $1600.00 for a lifetime for orthodontic services, effective October 1, 2007; $1650.00 per calendar year and $1650.00 for a lifetime for orthodontic services, effective October 1, 2008.
2. Treatment plan - When the total cost of proposed dental work is expected to exceed $300.00, the Company recommends that a treatment plan be filed for benefit determination prior to the date treatment is rendered.
3. Eligible Expense - Eligible expenses are those which are recommended as necessary by a physician or dentist that are not in excess of the suggested fee for general practitioners. Effective: October 1, 2006 ñ 2004 ODA Schedule The Company reserves the right to use the least expensive method of treatment that would provide a professionally adequate result. The eligible expenses are limited to the following: Complete oral examination (once every 2 years) **(once every 3 years - Recall oral examination adults only) 01101, 01102, 01202, 01103 01203 (twice every 12 months) Emergency examination 01205 Specified oral area examination 01402, 01502, 01602, 01703, 01802 Radiographic examination (x-ray) complete series intra oral films (once every 2 years) 02101, 02102 Periapical films 02111-02125 (inclusive) Occlusal films 02131-02136 (inclusive) Posterior bite-wing films (twice in any 12 months) 02141-02146 (inclusive) Panoramic film (once every 24 months) 02601 Interpretation of radiographs from another source 02801, 02802, 02809 Biopsy, soft-hard tissue 04311-04313, 04321-04323 Cytological examination 04401 Pulp vitality test 04501, 04509 Diagnostic casts 04911 Scaling and polishing (twice in any 12 months) 11101, 11102, 11103 **(once in 9 months - adults only) Fluoride treatment (twice in any 12 months) 12101, 12102 **(once in 9 months - adults only) Oral hygiene instruction (once every 12 months) 13211-13214, 13219 Plaque control program (once only, family maximum of ($50) 13200 Caries/pain control 20121, 20129 Interproximal discing of teeth 13701-13703, 13709 Space maintainers 15101-15104, 15201, 15202, 15301, 15302 15401-15403, 15501, 15601, 15602 Nutritional counsell...
DENTAL EXPENSE BENEFIT. The plan will provide for reimbursementof eligible expenses incurred by an eligible employee or eligible dependant as set forth in the following schedule: of Basic and Rider No. eligible expenses of Rider No. eligible expenses of Rider No. eligible expenses Reimbursement will be on the basis of reasonable and cus- tomary charges, and limited to the Schedule of Fees of the Ontario Dental Association for expenses incurred on or after June 1,2006; and limited to the Schedule of Fees of the Ontario Dental Association for expenses incurred on or after June 2007; and limited to the Schedule of Fees of the Ontario Dental Association for expenses in- curred on or after June
DENTAL EXPENSE BENEFIT. (For You and Your Dependents) As the wording of this dental coverage is technically oriented The Maritime Life Assurance Company suggests you take this booklet with you when you visit your dentist. In the event that you incur in a calendar year any of the eligible expenses listed below, you will be paid of Minor Services, of Major Services and of Orthodontic Expenses.
DENTAL EXPENSE BENEFIT. The Company will provide all eligible employees and eligible dependents, the Basic Dental Plan, Rider # Rider # 2 and Rider # 4 (Crowns and Bridges as detailed in the Dental Benefits Booklet. Regardless of the Procedure Codes used from year to year, the Company will ensure that the Dental Benefits continue to be covered as specified in this Article Coverage will be based on the ongoing Ontario Dental Association Schedule fee guide from the year previous to the present year. An employee with seniority and his eligible dependents shall become eligible for dental benefits on the first of the month following the completion of six months of continuous service with the Company.
DENTAL EXPENSE BENEFIT
