SARDP - mystudentplan - Dental Benefits

Plan Number: 330757
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 exams, once every 36 months Specific or emergency exams Complete series of x-rays (not eligible for dependents under 12) and periapical, up to 16 films including bitewings, 1 in any period of 36 months Bitewings, not more than 4 films per benefit year Panoramic, 1 in any period of 36 months Polishing, 1 unit per benefit year Scaling, 2 units per benefit year Fluoride, under 19 years of age, 1 treatment per benefit year Oral hygiene instruction, 1 treatment per lifetime Pit and fissure sealants, under 19 years of age, 1 per molar in any period of 36 months Anaesthesia, eligible when done in conjunction with a covered dental procedure
Minor Restorative	70%	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 Recementation of existing restorations Denture adjustments and repairs Relining, rebasing and tissue conditioning, one treatment in any period of 36 months
Oral Surgery	50%	Extractions, not more than 2 wisdom teeth per benefit year Anaesthesia, eligible when done in conjunction with oral surgical procedures
Periodontic	15%	Occlusal equilibration, not more than 4 units per benefit year Periodontal appliances, not more than 1 appliance per arch in any period of 24 months Periodontal appliance repairs, maintenance and adjustments, not more than 4 adjustments per benefit year Oral surgical procedures Anaesthesia, eligible when done in conjunction with oral surgical procedures
Endodontic	20%	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.

Fall Deadline
Submit your online Family Add-On, Opt-Out, or Opt-In applications by September 15^th, 2024.

Plan Card Generator
Generate 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 Canada Life 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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