Student Health and Wellness! mystudentplan provides health, prescriptions, dental, mental health care plus additional benefits for eligible students.

 

Dental Benefits

The student dental plan can ease the costs of regular check ups, cleanings and a variety of dental procedures to make a plan for your oral health.

These are the different treatments and coverages included:

Health Benefits Balanced
Plan
FLEXible
Drug & Parameds
FLEXible
Vision & Parameds
FLEXible
Dental
Dental Coverage $950 per benefit year $700 per benefit year $950 per benefit year $1,200 per benefit year
Diagnostic & Preventative 80% Coverage 80% Coverage 80% Coverage 90% Coverage
1 recall (12 months) examination per benefit year. 2 recall (every 6 months) examination per benefit year.
  • Complete series of x-rays
    Maximum 16 films including bitewings in any period of 36 months. Not eligible for dependents under 12 and periapical.
  • Bitewings
    Maximum 4 films per benefit year.
  • Scaling
    2 units per benefit year.
  • Polishing
    1 unit per benefit year.
  • Oral hygiene instruction
    1 treatment per lifetime.
  • Fluoride
    Under 19 years of age, 1 treatment per benefit year.
Minor Restorative 80% Coverage 50% Coverage 60% Coverage 80% Coverage
  • Pit and Fissure Sealants
    Under 19 years of age, 1 replacement per tooth, per lifetime, on permanent molars only
  • Space maintainers and maintenance
    Under 15 years of age.
  • Amalgam and tooth coloured fillings
    1 per tooth in any period of 24 months.
  • Stainless steel and plastic full coverage restorations
    Under 15 years of age, 1 per tooth in any period of 36 months.
  • Denture adjustments and repairs.
  • Relining, Rebasing and Tissue conditioning
    1 treatment in any period of 36 months.
  • Recementation of fixed prosthesis
Oral Surgery 50% Coverage 30% Coverage 30% Coverage 80% Coverage
  • Extractions
    Maximum 2 wisdom teeth per benefit year.
  • Anaesthesia
    Eligible when done in conjunction with Oral Surgery
  • Panoramic x-ray
    1 in any period of 36 months
Endodontic and Periodontic 50% Coverage
  • Root canal therapy
  • additional scaling and/or root planing
    Maximum of 2 units per benefit year.
Major Restorative 15% Coverage
  • Crowns
  • Bridges
  • Dentures

Replacement of an existing crown, bridge or dentures is an eligible expense if the replacement is required to replace an existing crown, bridge or denture which was installed 5 years before the replacement.

Payment of dental benefits is based on the General Practitioners Dental Association suggested fee guide or the Insurance Reimbursement Rate set by the Canadian Life and Health Insurance Association Inc. (CLHIA) when a fee guide is not available. For services provided by a dental specialist, payment is based upon the General Practitioners Dental Association suggested fee guide.

Alternate Benefit - When there are two or more courses of treatment available to adequately correct a dental condition, reimbursement may be based on the cost of the least expensive treatment, which provides adequate care to the Insured.

Limitations and Exclusions to Dental Benefits

An exclusion is a condition or instance that is not covered by the Dental Plan. It's important to review and understand exclusions to the plan before using your benefits.