Insured with Canada Life Assurance Company
Policy No. 56565 – Division 10
Toll-free number: 1-800-957-9777
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(Select prompt 3 for benefit selection = Dental inquires)
Eligibility
The eligibility requirements are as follows as defined in our Group Policy Contract:
- You must be an Insurable Employee
- You must be Actively at Work
Class 2: 1-year contract employees have limited dental coverage. Refer to the Class 2 PDF booklet for more information.
Coverage
50% coverage
Lifetime maximum of $3,000 per person
Coverage for ongoing treatment requires that the member continues to be eligible for benefits and that a dependent continues to meet the definition of a dependent as outlined in the Definitions section of your benefit booklet.
At the start of the orthodontic treatment, the dentist or orthodontist will prepare a written outline of the proposed treatment. This is called a treatment plan. The treatment plan will outline the amount of your initial deposit plus your pro-rated monthly fees. Canada Life must have a copy of this in the patient’s file before they can reimburse for orthodontic claims.
IMPORTANT: If you wanted to pay for the entire cost of the orthodontic treatment, outright, Canada Life would not reimburse you for the entirety of the orthodontic expenses. Orthodontia is regarded as an ongoing treatment (claim); therefore; you cannot be reimbursed for a service that is not yet fully completed.
When your orthodontist gives you the completed treatment plan form, please forward it to Canada Life. Make sure you indicate on the form:
- The member’s plan and ID numbers
- Patient’s full name
- Patient’s birth date
- Information on coverage under any other dental care plans. Refer to the narrative on the coordination of benefits (COB).
The orthodontist or dentist may give you a receipt instead of completing a claim form. Submit your receipt, attached to a completed Dentalcare claim form and forward to Canada Life for processing.