| Dental Benefits |
Coverage |
| Diagnostic & Preventative |
100% |
One examination and consultation during each benefit year, including any necessary x-rays and diagnostic services at the time of the examination.
Eligible Exams
- Complete oral examinations
- Recall oral examinations
- Emergency or specific oral examinations
- Consultation
Eligible X-rays
- Full mouth series, minimum 16 films, including bitewings in any 36 consecutive months
- Panorex (one in any 36 consecutive months)
- Periapical (no more than 16 films in any 36 consecutive months)
- Occlusal (no more that 4 films in 12 consecutive months)
- Bitewing (no more than 4 films in 12 consecutive months)
- One cleaning and one unit of polishing, including up to 4 units of scaling (above the gum line).
- Fluoride treatments will be limited to one per benefit year
- Oral hygiene instruction, 1 treatment per lifetime
|
| Minor Restorative |
75% |
- Amalgam, silicate and composite fillings.
- Tooth-coloured fillings
Limited to once every two years on the same tooth surfaces.
- Space maintainers
For a Dependent Child only, up to and including 14 years of age.
Multiple restorations on a common surface placed on the same service date will be considered a single restoration. The maximum benefit payable will not exceed the fee for a five surface restoration regarding the same tooth during one sitting.
|
| Extractions and Oral Surgery |
75% |
- Extractions of teeth and residual root removal
limited to two wisdom teeth in any policy year;
- Surgical excision, surgical enucleation and surgical movement of teeth;
- Surgical incision and drainage, surgical incision for removal of foreign bodies and antral surgery;
- Gingivoplasty, stomatoplasty, vestibuloplasty and all alveoloplastys;
- General anaesthesia;
- Remodelling of floor of the mouth, reconstruction of alveolar ridge;
- Extensions of mucous folds, bone grafts to the jaw and prosthetic augmentations to the jaw;
- Replantation and repositioning of teeth;
- Treatment of fractures, repairs of lacerations;
- Frenectomy, hemorrhage control, treatment of salivary glands;
- Treatment of maxillofacial deformities.
|
| Endodontic |
10% |
Endodontic services including where applicable, treatment plan, local anaesthesia, tooth isolation, clinical procedures, sutures, appropriate radiographs and follow-up care for:
- Pulpotomy (not in conjunction with root canal therapy if rendered within 30 days)
- Root canal therapy
- Apexification
- Periapal sevices
- Root amputation
- Hemisection
- Intentional removal, apical filling and reimplantation
|
| Major Restorative |
10% |
- Crowns, including treatment plan, occlusal records, local anaesthesia, subgingival preparation of the tooth and supporting structures, removal of decay and old restoration, tooth preparations, pulp protection, impressions, temporary coverage, insertion, occlusal adjustment and cementation, repairs and removal.
- Removable prosthodontics will include, where applicable, treatment plan, impressions, jaw relation records, try-in, insertion, occlusal equilibration and 3 months post-insertion care on complete dentures, transitional dentures, acrylic dentures and cast partial dentures.
- Fixed prosthodontics will include, where applicable, treatment plan, occlusal records, local anaesthesia, subgingival preparation of the tooth and supporting structures, removal of decay and old restoration, tooth preparation, pulp protection, impressions, temporary coverage, splinting, intraoral indexing for soldering purposes, insertion, occlusal adjustments and cementation on pontic, retainers, abutments and repairs.
|
| Periodontic & Other Oral Surgery |
10% |
- Non-surgical procedures
- Definitive surgical procedures
- Adjunctive surgical procedures
- Occlusal equilibration
- Periodontal appliances including impression and insertion (one appliance per arch in 24 consecutive months)
- Periodontal appliance repair, maintenance and adjustment (no more than 4 units in any benefit year)
|
| Dental Accident |
100% |
Maximum of $2,000 per accident for of the cost of the services of treatment of injury to sound natural teeth (treatment must commence within 30 days of the accident and be completed within 12 months of accident; authorization required). Treatment must start within 30 days after the accident unless delayed by a medical condition. A sound tooth is any tooth that did not require restorative treatment immediately before the accident. A natural tooth is any tooth that has not been artificially replaced.
No benefits are paid for:
- Accidental damage to dentures
- Dental treatment completed more than 12 months after the accident
- Orthodontic diagnostic services or treatment
Services must be performed within 12 months of accident. If treatment is scheduled to occur more that 90 days after the impact, a treatment plan must be submitted before the end of the 90-day period.
Pre-authorization required. An estimate for all dental accident services MUST be submitted to Canada Life. If you go ahead with treatment without a pre-determination being approved, you are doing so at the risk of the expenses being yours.
In the event of a dental accident, you must complete a Standard Dental Association claim form, to download the form, visit the submitting claim section.
This coverage is under the Health Plan. You must be enrolled in the Health Plan to claim for dental accidents.
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