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Business / Health / Dental

Dental Coverage - What Might Be Covered?

Plans cover eligible expenses charged by a dentist based on the current General Practitioners Fee Schedule for your home province.

Benefits are usually subject to a calendar year deductible of $50 per insured person to a maximum of $100 per family and or a coinsurance normally 80% for Basic Dental Care and 50% for Major Dental Care, if included.

Benefits can be limited to a maximum of $1,500 or usually less for each insured person per calendar year.

This a sample of what a plan may cover:

80% of the cost of Basic Dental Care:

  • Diagnostic services (e.g., examinations, x-rays)
  • Preventive services (e.g., fluroide treatment, cleaning and polishing)
  • Minor restorative expenses (e.g., fillings, stainless steel crowns)
  • Endodontic services (e.g., root canals)
  • Periodontic services (e.g., treatment for gum diseases)
  • Oral surgery (e.g., extraction of impacted wisdom teeth)

50% of the cost of Major Dental Care:

  • Crowns
  • Dentures
  • Bridgework

If you terminate your insurance within the first year you may be subject to contractual conditions that may surprise you. For example if one buys coverage and uses the same and then cancels after many bills have been paid shortly after obtaining the plan some companies will make you pay back the money or at least pay premiums for one year. It sounds odd but companies have to protect themselves from misuse of the plan. Read the fine print or better yet work closely with your advisor as they can consult you best.

Some limitations, maximums, and exclusions apply. Contact your insurance representative Wise Financial Group Inc. @ 1-877-779-4731.

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