Major/Restorative

Coverage is per person per calendar year (January – December). For major restorative treatments over $800, a dental predetermination (treatment plan) is recommended.

  • Enhanced Option 1: 100% of the Dental Benefit List fees for major/restorative treatments up to a maximum of $5,000  
  • Enhanced Option 2: 50% of the Dental Benefit List fees for major/restorative treatments up to a maximum of $2,500 
  • Core: 50% of the Dental Benefit List fees up to $2,000 for major treatments

Below is a list of some common major restorative procedures and coverage limitations:

  • Bridges: Bridge replacements must be seven years old from the date of the last placement.
  • Crowns: Crown replacements must be five years old from the date of last placement. Re-cementation of a crown is limited to twice per tooth per lifetime.
  • Dental Implants: Surgical procedures, such as a dental implants, are limited to a maximum eligible amount of $3500 per tooth. Replacements must be 12 years old from the date of the last placement and plan maximums remain the same.
  • Dentures - Full and Partial: Denture replacements must be five years old from the date of the last placement.
  • Inlays and Onlays: Inlay and onlay replacements must be five years old from the date of the last placement.
  • Veneers: Veneer replacements must be five years old from the date of the last placement. Re-cementation of a veneer is limited to twice per tooth per lifetime. Veneers for cosmetic purposes are not covered.
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Phone

Fax: 780-438-5304
Toll Free: 1-877-431-4786
Allendale Centre East
Suite 301, 6104-104 Street NW
Edmonton, AB T6H 2K7
 
Contact Centre Hours
Sept - June: 7:30 am – 5:00 pm
July - Aug: 8:30 am – 4:30 pm
 
Reception Hours
Open for scheduled meetings: 9:15 a.m. – 3 p.m.
(closed 12:15-12:45 p.m.)
Monday to Friday
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