Section 1: Benefits
(a) Diagnostic Services:
All necessary procedures to assist the dentist in evaluating the existing conditions to determine the required dental treatment, including:
Oral Examinations
Consultations
X-Rays (Complete mouth X-Rays will be covered only once in a 3 year period)
(b) Preventive Service
All necessary procedures to prevent the occurrence of oral disease, including:
Cleaning and Scaling
Topical Application of Fluoride
Space Maintainers
(c) Surgical Services
All necessary procedures for extractions and other surgical procedures normally performed by a dentist.
(d) Restorative Services
All necessary procedures for filling teeth with amalgam, synthetic porcelain, composite, and stainless steel crowns.
(e) Prosthetic Repairs
All necessary procedures required to repair or reline fixed or removable appliances.
(f) Endodontics
All necessary procedures required for pulpal therapy and root canal filling.
(g) Periodontics
All necessary procedures for the treatment of tissues supporting for the teeth.
(h) Prosthetic Appliances and Crown and Bridge Procedures
(i) Crowns and bridges.
(ii) Partial and/or complete dentures but not more than once in five years.
(iii) Cover 50% of the cost of implants to a maximum of $2,000.00
Dentures lost, broken or stolen will not be replaced.
(i) Orthodontics
The services of a certified Orthodontist registered as such by the College of Dental Surgeons of British Columbia, only after the patient has been covered continuously for twelve months. Appliances lost, broken, or stolen will not be replaced.
Maximum orthodontic benefit will be 50% coverage to a maximum of $5,000 per person.
Section 2: Co-Insurance
In respect to benefits (a) to (g), the plan will provide reimbursement of 90% of eligible expenses. In respect to benefits (h) and (i), the plan will provide reimbursement of 50% of eligible expenses.