Member – $300,000

Spouse – $60,000

Dependent Child – $8000

Member – $300,000

Spouse – $60,000

Dependent Child – $8000

Covered after OHIP excluding air and rail

$80 per visit

Maximum of $1,500 per calendar year combined

$100 1st visit

$75 subsequent visits

Maximum of $1,500 per calendar year combined

$100 per visit / maximum of $1,500 per calendar year

Calendar Year Maximum – $3,000 (per family member

Reimbursement – 2023 O.D.A Fee Guide

Member Advantage Card – Dental Reimbursement

Coinsurance – 100%

• Basic/Preventative:
  
  • Oral Exams/Light Scaling/Polishing – Up to once every 6 months per procedure
  • Scaling/Root Planing/Occlusal Equilibration – 8 units per calendar year for all procedures combined

Repairs/Relines/Rebases – Once every 24 months

Implants – $3,000 per family member per year (inclusive of all dental care services)

Orthodontics (Dependent Child Only) – 60% (under age of 21)

Orthodontics Lifetime Maximum – $2,500

One set / $3,000 maximum every 36 months (including replacement, repair, batteries)

Member – $200,000*

Spouse – $20,000

Dependent Child – $10,000

$10,000 within 48 hours – Advance from Principal Sum

$80 per visit

Maximum of $1,500 per calendar year combined

$80 per visit

Maximum of $1,500 per calendar year combined

Member – $400,000

Member – $400,000

$80 per visit

Maximum of $1,500 per calendar year combined

1 pair every 24 months / Maximum $500

50% / Maximum $250 per calendar year

$80 per visit

Maximum of $1,500 per calendar year combined

$90 per visit

Maximum of $1,500 per calendar year combined

$80 per visit

Maximum of $1,500 per calendar year combined

100% (Rx drugs prescribed by a Physician and dispensed by a Pharmacist)

$50,000 Lifetime Maximum on Opioids*

$5,000 Lifetime Maximum

$200 per visit, up to a lifetime maximum of $10,000 per dependent child only

One set (lenses & frames) / $450 maximum every 24 months