DENTAL BENEFITS
Includes Plans B, C, and D, for eligible members and dependents enrolled.
Plan 'B' - Basic Benefits
Calculated at 90% of the prevailing Fee Guide as set out by the Dental Association for General Practitioners in the province or your residence, excluding the Northern Manitoba Fee Guide, for the following:
1.Diagnostic
All necessary procedures to assist the Dentist in evaluating the existing conditions to determine the required dental treatment including:
• Complete examination once every three calendar years (normally for new patients).
• Recall or oral examinations; twice in each calendar year.
• Periapical X-rays.
• Full mouth or panorex X-rays once every two calendar years.
2. Preventive
•1 unit of polishing twice in each calendar year.
• Topical application of fluoride up to two applications in each calendar year.
• Space maintainers (except when used for orthodontic purposes).
3. Extractions
• Uncomplicated procedures for the removal of teeth; that are beyond restoration.
4. Restorative
• Fillings made of amalgams, silicates, plastics, and synthetic porcelains.
• Repair of damaged dentures. Adding teeth to existing dentures. Relining or rebasing the dentures is limited to once every three years.
5. Endodontics
The usual procedures required for pulpal therapy and root canal filling.
6. Periodontal
The usual procedures for the treatment of: the diseases of the tissues and bones supporting the teeth, including scaling.
7. Accidental Injury
Major dental services as a result of an accident up to a maximum of $1,000 per year, per contract.
8. Consultations
Consultations required by attending Dentist, there is no benefit maximum for this coverage.
Prairie Teamsters Administration Services Ltd.
209, 7260 - 12 St SE Calgary, Alberta T2H 2S5
Telephone 403-252-6924 - Toll Free1-877-817-7526 - Fax 403-253-3231