After you satisfy a deductible of $50 per person or $100 per family each year, the plan begins paying a percentage of your expenses. You’ll pay upfront and submit a dental claim form directly to Sun Life for reimbursement.
Where any two or more courses of treatment covered under this benefit would produce professionally adequate results for a given condition, the plan will pay benefits as if the least expensive course of treatment were used. Sun Life will determine the adequacy of the various courses of treatment available, through a professional dental consultant.
After satisfying the annual deductible, this group of services is covered at 80%, to a maximum of $1,000 per calendar year.
After satisfying the annual deductible, this group of services is covered at 50%, to a maximum of $1,500 per calendar year.
These services are covered 50%, to a maximum of $1,500 per lifetime for dependent children under age 19.
Cosmetic treatment, correction of temporomandibular joint dysfunction (TMJ), implants, anti-snoring or sleep apnea devices, replacement of removable appliances that are lost.
This is not a complete list of covered and non-covered expenses. Please see the plan booklet for additional details.