Dental Coverage Chart

Dental Benefits

CMCC Dental Plan Coverage Chart

The maximum paid by Sun Life per policy year on the insured portion of the Dental Plan is $500.

¹ Percentage of Provincial Dental Fee Guide Cost for General Practitioners (province where service was performed).

² Recall exams, cleaning/polishing, bitewing x-rays, oral hygiene instruction and the application of fluoride are covered once per 9 months. Scaling is covered up to a maximum of 8 units per policy year. A complete exam (sometimes called a new patient exam) is only covered once per 36 months.

³ The extraction of impacted teeth is considered to be part of preventative services by Sun Life. The Studentcare Dental Network reduction, however, will be 20%, as this is considered oral surgery in the Provincial Dental Fee Guide for General Practitioners.

⁴ Fillings in amalgam (metal) are covered for all teeth. Composite (white) fillings are covered for the front teeth and pre-molars only. If you choose to have your back (posterior) teeth filled in composite, your claim will be reimbursed according to the amalgam fee.

⁵ Certain maximums exist. Contact studentcare.net/works for more details.

Note: Services performed by an orthodontist are not covered by the Dental Plan.

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