Add dental coverage to your employer's group plan
If the health plan available through your employer doesn't include dental coverage,
Pacific Blue Cross offers an add-on that individuals can purchase to supplement
existing Blue Cross group health care plan. The add-on is available in
Essential and Enhanced options:
Essential Dental Plan Option
This plan has a sliding scale for reimbursement. After a three-month no claims waiting
period, it covers up to:
|
|
First 12 months
|
13-24 months
|
25 months+
|
|
Reimbursement percentage
|
70% Basic
|
80% Basic
|
80% Basic
|
|
Annual Maximum
|
$500 per person
|
$750 per person
|
$1000 per person
|
Eligible expenses include:
- Diagnostic expenses
- Preventive treatments
- Restorative treatments
- Periodontal cleaning
- Prosthodontic services
- Oral surgery
In addition, the plan covers emergency treatment of the above services while temporarily
outside of BC. There is no financial limit on the amount that will be paid for the
services covered over the lifetime of the plan.
Plan Rates
effective from July 1, 2012 to June 1, 2013
|
|
Single
|
Couple
|
Family
|
|
Per Month
|
$31
|
$64
|
$97
|
|
Annual
|
$353
|
$730
|
$1,111
|
Enhanced Dental Option
The Enhanced dental plan covers all of the essential dental benefits with the addition
of endodontics and major restorative services, up to a combined predetermined maximum
after 12 consecutive months on the plan.
|
|
First 12 months
|
13-24 months
|
25 months +
|
|
Reimbursement percentage
|
70% Basic
|
80% Basic
*50% Major
|
80% Basic
*50% Major
|
|
Annual combined maximum
|
$500 per person
|
$750 per person
|
$1000 per person
|
*We will pay to a maximum of $500 for each covered person every calendar year for
major restorative, orthodontic and prosthodontic services.
Eligible expenses include:
- Endodontics
- Major Restorative services, crowns, inlays, onlays, veneers, posts and fixed bridge
restorations limited to once every five years when the same tooth is involved.
- Complete or partial dentures limited to one upper and one lower denture every five
years. Benefit begins.
- Orthodontic coverage (for dependent children only, benefit begins in year 3). Lifetime
maximum is $1000 per dependent child.
Plan Rates
effective from July 1, 2012 to June 1, 2013
|
|
Single
|
Couple
|
Family
|
|
Per Month
|
$65
|
$129
|
$199
|
|
Annual
|
$741
|
$1,469
|
$2,269
|
Exceptional Service is included
With a Blue Cross health plan, you're covered by the world's most recognized and trusted health insurance brand. Our people are committed to delivering the Blue Cross service standard that is expected by our members.
We continually look for ways to improve service. Whether it's in person, on the phone or online self-service via CARESnet, our member self-service portal, we deliver service you can be proud of.
Blue Cross members have an advantage
The Blue Advantage® program allows Blue Cross members to save on medical, vision care and many other products and services offered by participating providers across Canada.
The program is unique because it provides savings at point of sale on the total cost of products and services from participating providers, regardless if the item is covered under your benefit plan. Simply present your Blue Cross identification card to the participating provider and mention the Blue Advantage program. Know more. Save more.