Dentist

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FAQ


How is the amount of the maximum eligible expense determined?
​If you... ​​The maximum eligible expense is calculated using...
Live and go to the dentist in Canada​ The current dental fee guide in the province or territory where the dentist is located
​​Live in Canada but go to the dentist outside of Canada Reasonable and customary charges (the amount that would have been charged in your province of residence determines the annual maximum)
Do I need to get pre-approval for expensive dental treatment? 

If treatment is likely to cost more than $300, Sun Life recommends that you have your dentist submit a treatment plan and expected cost to Sun Life. In return, Sun Life will let you know how much of the cost the plan will pay.

 
What if I need dental surgery or dental treatment after an accident? 
Dental Injury 

Treatment must take place no more than 12 months after the accident (for children under age 17 treatment must take place before the child reaches age 18).

You claim from the Health Care Plan first, and any balance, from the Dental Care Plan.

The Health Care Plan covers up to 80%.

For any remaining balance, the Dental Care Plan covers 90% of reasonable and customary charges for certain oral surgical procedures.

 
Dental Surgery

You claim from the Dental Care Plan first, and any balance, from the Health Care Plan.

The Dental Care Plan covers up to 90%.

For any remaining balance, the Health Care Plan covers 80% of reasonable and customary charges for certain oral surgical procedures.

Published on February 01, 2016