Dental Coverage Chart

Dental Benefits

SU Dental Plan Coverage Chart

The maximum paid by Sun Life per policy year on the insured portion of the Dental Plan is $750.

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

²Recall exams, cleaning/polishing, bitewing x-rays and oral hygiene instruction and the application of floride are covered once per 12 months. Scaling is covered up to 4 units per policy year. A complete exam (sometimes called a new patient exam) is only covered once per 36 months.

³Fillings 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 teeth filled in composite, your claim will be reimbursed according to the amalgam fee.

⁴Certain 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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