• Complete oral examinations
  Once every benefit year
• Emergency and specific oral examinations
• Full series X-rays and panoramic X-rays
  Once every 3 years
• Bitewing X-rays
  Once per benefit year
• Recall examinations
  Once per benefit year
• Cleaning of teeth
  Maximum 1 unit of polishing and 4 units of scaling once per benefit year
• Fluoride
  Once per benefit year for covered dependents 16 years of age and under
• Oral hygiene instruction
  Once per lifetime
• Pit and fissure sealants
  Once in a 36-month period for covered dependents 16 years of age and under
• space maintainer
  Once per space for covered dependents 14 years of age and under

• Amalgam, silicate and composite fillings
• Tooth-coloured fillings

• Periodontal root planning
  Maximum 16 units per benefit year
• occlusal equilibration
  Selective grinding of tooth surfaces to adjust a bite 8 units per benefit year

The fees for periodontal treatment are based on units of time (15 minutes per unit) and/or number of teeth in a surgical site in accordance with the General Practitioners Fee Guide.

Limited to $1,500 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 the 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.

In the event of a dental accident, you must complete a Standard Dental Association claim form.

When making a claim, be sure to attach all original receipts to the claim form. The claim form can be mailed directly to the insurance company.

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.

This coverage is under the the Health Plan. You must be enrolled in the Health Plan to claim the dental accident.