Dental Expense Insurance. 10.01 Upon receipt by the insurer within ninety (90) days from the date of billing by the dentist and approval by the insurer of due proof that an eligible employee or dependent has incurred expenses for covered dental services, the insurer will, subject to Article 15, reimburse the employee for one hundred percent (100%) of the charges for covered dental services listed under Article 10.02, Part "A"; ninety percent (90%) of the charges for covered dental services listed under Article 10.02, Part "B", subject to $2,000.00 in a 24 month benefit period for services under Part "A" and/or Part "B" and, after satisfying a deductible of fifty dollars ($50.00) for each treatment plan, fifty percent (50%) of the charges for dental services listed under Article 10.02, Part "C", subject to a maximum lifetime benefit of $1,000.00. Benefits are provided under Parts "A" and/or "B" exclude that portion of any charge which is in excess of the prevailing Schedule of Fees of the Provincial Dental Association in the Province of residence.
10.02 Covered dental services shall be the following: -
(a) oral examination and diagnosis; but not more than once in any nine (9) month period for employees and dependents age 18 or over;
(b) complete series of periapical films but not more than once in any five (5) year period;
(c) prophylaxis including scaling and polishing of teeth but not more than once in any nine (9) month period for employees and dependents age 18 or over;
(d) bitewing x-rays but not more than once in any nine (9) month period for employees and dependents age 18 and over;
(e) topical application of any anti-cariogenic agent (e.g., stannous fluoride); but not more than once in any nine (9) month period for employee and dependents age 18 or over;
(f) plastic fillings (amalgam, silicate, acrylic or equivalent);
(g) emergency treatment;
(h) space maintainers not involving the movement of teeth;
(i) periodontal treatment including surgery and post-surgical treatment, excluding prosthesis and appliances;
(j) endodontic treatment (root canal therapy;)
(k) oral surgical procedures, including the removal of teeth (erupted, un-erupted or impacted;)
(l) general anesthesia in connection with oral surgery;
(m) x-rays in connection with oral surgery;
(n) injections of antibiotic drugs by the attending dentist;
(o) one (1) oral hygiene instruction per insured individual per life- time.
(a) inlays and crowns;
(b) complete dentures;
(c) partial dentures;
(d) fixed bridgework;
(e) r...
Dental Expense Insurance. The Hospital will make available dental insurance to full time and part time employees as of the first day of the month following employment. Effective by 1.1.2023
Dental Expense Insurance. The Employer agrees to a basic Dental Plan for full-time employees and their eligible dependents. Eligible dependents shall include the spouse and dependent children from birth to twenty-one years of age and dependent children who are mentally or physically to any age, of an employee. This Plan will reimburse the employee for one hundred percent of covered Class “A” expenses and ninety percent of covered Class expenses, subject to the provisions of the Plan and subject to an annual maximum of up to the Provincial Dental Association’s Schedule of Fees, and after satisfying a deductible of fifty dollars for each treatment plan, fifty percent of covered Class expenses, subject to the Plan and subject to a lifetime maximum of All full-time employees will be eligible for this coverage on the first day of the month following three months of continuous full-time employment. Claims must be submitted within ninety days of the date of billing from the dentist. Survivor Income Benefit A full-time employee with eligible dependents is eligible for insurance and shall be insured on the first day of the month next following the later of: six months’ continuous full-time employment with the Employer; or
Dental Expense Insurance. The Employer agrees to provide a basic Dental Plan for full-time employees and their eligible dependents. Eligible dependents shall include the spouse and dependent children from birth to twenty-one years of age and dependent children who are mentally or physically infirm to any age, of an employee. This Plan will reimburse the employee for one hundred percent of covered Class “A” expenses and ninety percent of covered Class expenses, subject to the provisions of the Plan and subject to an annual maximum of reimbursement up to the Provincial Dental Association’s Schedule of Fees, and after satisfying a deductible of fifty dollars for each treatment plan, fifty percent of covered Class expenses, subject to the Plan and subject to a lifetime maximum of All full-time employees will be eligible for this coverage on the first of the month following three months of continuous full-time employment. Claims must be submitted within ninety days of the date of billing from the dentist. The current Plan covers the following procedures: oral exams, prophylaxis (cleaning and scaling), fluoride and bitewing, and x-rays every six months. This shall not change for dependents of employees under the age of eighteen years. For dependents and employees over eighteen years of age, coverage shall be every nine months.
Dental Expense Insurance. The Employer agrees to provide a basic Dental Plan for full-time employees and their eligible dependents. Eligible dependents shall include the spouse and dependent children from birth to twenty-one (21) years of age and dependent children who are mentally or physically infirm to any age, of an employee. This Plan will reimburse the employee for one hundred percent (100%) of covered Class “A“ expenses and ninety percent (90%) of covered Class expenses, subject to the provisions of the Plan and subject to an annual maximum of reimbursement up to the Provincial Dental Association’s Schedule of Fees, and after satisfying a deductible of fifty dollars ($50.00) for each treatment plan, fifty percent (50%) of covered Class expenses, subject to the Plan and subject to a lifetime maximum of All full-time employees will be eligible for this coverage on the first of the month following three (3) months of continuous full-time employment. Claims must be submitted within ninety (90) days of the date of billing from the dentist. The current Plan covers the following procedures: oral exams, prophylaxis (cleaning and scaling), fluoride and bitewing, and x-rays every six (6) months. This shall not change for dependents of employees under the age of eighteen (18) years. For dependents and employees over eighteen (18) years of age, coverage shall be every nine (9) months.
Dental Expense Insurance. The Employer agrees to provide a basic Dental Plan for full-time employees and their eligible dependents. Eligible dependents shall include the spouse and dependent children from birth to twenty-one (21) years of age and dependent children who are mentally or physically infirm to any age, of an employee. This Plan will reimburse the employee for one hundred percent (100%) of covered Class "A" expenses and ninety percent (90%) of covered Class "B" expenses, subject to the provisions of the Plan and subject to an annual maximum of $1,000.00 reimbursement up to the Provincial Dental Association's Schedule of Fees, and after satisfying a deductible of fifty dollars ($50.00) for each treatment plan, fifty percent (50%) of covered Class "C" expenses, subject to the Plan and subject to a lifetime maximum of $1,000.00. All full-time employees will be eligible for this coverage on the first of the month following three (3) months of continuous full-time employment. Claims must be submitted within ninety (90) days of the date of billing from the dentist. The current Plan covers the following procedures: oral exams, prophylaxis (cleaning and scaling), fluoride and bitewing, and x-rays every six (6) months. This shall not change for dependents of employees under the age of eighteen (18) years. For dependents and employees over eighteen (18) years of age, coverage shall be every nine (9) months.
