What’s Not Covered

The following are a number of products and services not covered under the plan. Note that this list isn’t exhaustive.

Appliances which have been lost, stolen or broken because of an incident that did not involve accidental bodily injury
Charges for broken or missed appointments
Correction of temporomandibular joint (TMJ) dysfunction
Cosmetic treatment, such as teeth bleaching or diastema (gap) closure, unless necessitated by an accidental injury
Dietary planning, plaque control or oral hygiene instructions
Full mouth reconstructions and vertical dimension correction
Mouth guards worn for safety protection for sports, work or other related activities
Services or supplies that weren’t provided by a dentist or other dental professional (e.g. services or supplies provided by an online or kiosk distributor)
Treatment that’s experimental, educational or for the purpose of research
Treatment where expenses aren’t considered necessary for the prevention of dental disease or correction of a dental defect
Treatment provided free of charge
Services provided by a family member if the family member has been given a discount. If you or your dependant is required to pay a portion of the cost of the services, you must pay for that portion or have your entire claim deemed ineligible (for example, if a dentist bills $300, we pay $180 (60 percent) and you pay the remaining $120 (40 percent). If the dentist doesn’t require you or your dependant to pay your portion, we won’t pay either)
Expenses covered through a government program, whether or not you or your dependants choose to participate in the program
Where charging for services or supplies is prohibited under legislation
Expenses incurred while on active duty in any military or peacekeeping force
All expenses incurred as a result of conduct that would constitute an indictable offence within Canada