Sun life dental insurance phone number plus#

Your dentist can often submit a claim for your dental procedure directly to Sun Life. In the case of major dental work, this could be a significant and unexpected amount. If you obtain dental services without a predetermination, you are responsible for what the plan does not cover. ItвЂ™s your responsibility to request a predetermination in advance of receiving dental treatment in order to know what the Dental plan will cover and how much you will be expected to pay out of pocket. Once the review process is complete, Sun Life will send you a Claims Statement outlining what part of the cost is covered by the plan and what you will have to pay. Sun Life may also request further information from your dentist as part of its review process. If your dentist does not provide this information with the form, your predetermination for services will be declined until this information has been received and reviewed by Sun Life. Your dentist should include supporting information, such as x-rays or pictures of models or molds, to illustrate the services that are being recommended. Your dentist can also submit this form electronically. To receive a predetermination for this work, ask your dentist to complete the Dental Claim form, detailing the dental procedure(s) or orthodontic treatment plan, and then have them send this form to Sun Life for you.

dental care procedure(s) in excess of $500, and.

You must receive a predetermination from Sun Life beforeВ you receive treatment for: When do I need a predetermination for dental work? If the alternate procedure will result in an equivalent level of success, then Sun Life will pay the amount for the least expensive alternate procedure. When Sun Life is deciding to pay for a dental procedure, they will investigate if there is a viable alternate treatment. If your dental coverage ends, you will still be covered for procedures to repair natural teeth damaged in an accident if the accident occurred while you were covered, and the procedure is performed within six months after the date of the accident. That is, the fee for the permanent procedure will be used to determine the usual and reasonable charge for the dental work. If you receive any temporary dental service, these costs will be included as part of the final dental procedure, and not as a separate procedure. What are my coverage limits?ДЇor all employee groups there is no overall coverage limit for preventive, basic or major procedures.ДЇor all employee groups, the maximum reimbursement for orthodontic proceduresВ in a personвЂ™s lifetime is $3,000. You do not have to pay a deductible for dental coverage.

supplies intended for sport or home use, and.

replacing lost or stolen dental appliances,.

procedures primarily to improve appearance,.

You need to obtain predetermination from Sun Life for all orthodontic work. The lifetime maximum is $3,000 per person.В This includes diagnostic services and appliances such as braces. You will be reimbursed for 65% of the costs to treat misaligned or crooked teeth.

You need to obtain a predetermination from Sun Life for all dental procedures that cost more than $500.

Sun life dental insurance phone number plus#

If services are provided by a dental specialist, then the allowed fees are those outlined in the BC Dental Association Fee Guide for General Practitioners, plus 10%. Your reimbursement will be based on the percentage levels described below and the fee stated in the BC Dental Association Fee Guide for General Practitioners that is current at the time of the treatment. (Sessional Lecturers working less than 50% FTE or in an appointment of four months or less pay half of the monthly premiums for Dental Plan benefits.) What dental costs are covered? There is no cost to you, as UBC pays the monthly premiums associated with this plan. If you want to receive Dental Plan benefits, you need to meet eligibility requirements and enrol in the plan. These procedures may be provided by a licensed dentist, denturist, dental hygienist or anaesthetist. Your UBC Dental Plan covers a wide range of dental services, from regular check-ups to major procedures such as root canals and crowns. Supports for those experiencing domestic violence.Working with an injury, illness or disability.Faculty collective agreement and policies.Collective Agreements and Terms & Conditions of Employment.