Under the Dental Plan, you and your eligible dependents are covered for specific Dental services provided by a licensed Dentist and Dental Hygienist according to the Dental Association Fee Guide (General Practitioner) for the Employee’s province of residence. A Predetermination of Benefits is required if the proposed treatment is expected to exceed $1,000. To learn more about the level of reimbursement, calendar year or lifetime maximums please refer to this section of the HEALTH BENEFIT PLAN BOOKLET.
Use the Dental Benefits Claim Form if you’ve paid your dentist for eligible dental service, on behalf of yourself or your eligible dependents.
Specify the dependent’s name, the Employee’s name, address, policy number and Social Insurance Number/certificate number.
Both the receipts and the forms should be sent to the Administrator. Claims should be submitted once the course of treatment has been completed.