Student Health and Wellness

Plan Number: 167898
Certificate Number: Student ID
FAQ
Canada Life: 1-800-957-9777
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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.

Coverage is a combined maximum of $750 per benefit year

Ask your dentist to submit a pre-authorization to Canada Life prior to any dental treatment plan exceeding $500.

These are the different treatments and coverages included:

Dental Benefits	Coverage
Diagnostic & Preventative	80%	recall examination, 1 per benefit year initial or complete examination, once per dentist in a lifetime complete series of x-rays, up to 16 films including bitewings, 1 in any 36 month period, not eligible for dependent children under 12 bitewings, 2 films per benefit year panoramic, 1 in any 36 month period polishing, 1 unit per benefit year scaling, 2 units per benefit year fluoride, for dependent children under the age 19, 1 treatment in a benefit year oral hygiene instruction, one treatment per lifetime pit & fissure sealant, for dependent children under the age 19, once per molar in any 36 month period
Minor Restorative	70%	amalgam (silver) fillings and composite resin (tooth coloured) stainless steel and plastic full coverage restoration, for dependent children under the age of 15, 1 per tooth in any 36 month period recementation of fixed prosthetics denture adjustments and repairs denture relining, rebasing and tissue conditioning, once every 36 months space maintainers & maintenance for dependent children under the age 15, one per space, per benefit year
Extractions	75%	extractions, not more than 2 wisdom teeth per benefit year anaesthesia, eligible when done in conjunction with oral surgical procedures
Periodontic	50%	Additional scaling and/or root planing, maximum of 2 units per benefit year Occlusal equilibration, not more than 4 units per benefit year Periodontal appliances, not more than 1 appliance per arch in any 24 month period Periodontal appliance repairs, maintenance and adjustments, 4 adjustments per benefit year Oral surgical procedures Anaesthesia, eligible when done in conjunction with oral surgical procedures
Endodontic	50%	Root canal therapy

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.

Online Forms Deadline
Submit your online Family Add-On, Opt-Out, or Opt-In applications within 30 days from the start date of your program.

Plan Card Registration Form
Register for your Plan Card and use it where direct billing to Canada Life is available.

Prescription Search Tool
Find out if your prescription drugs are covered by the student plan.

Plan Claims
Learn more about submitting online or manual claims to get your refund.

Dental Benefits

Coverage is a combined maximum of $750 per benefit year

Limitations and Exclusions to Dental Benefits

Benefits Plan Office

General Inquiries Line

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