Ø
The name of the insurance carrier and
the telephone number.
Ø
The name of the person in your
company who is in charge of employee benefits.
Regarding the Policy:
Ø
What is the anniversary date of the
policy?
Ø
Is there an annual deductible? If
yes, how much is it?
Ø
What is the annual maximum allowed
per patient?
Ø
Dental benefits are paid on which
year’s Ontario Dental Association fee schedule?
Ø
How many units of scaling and/or root
planning are covered per year?
Ø
Which codes are allowed for these
services?
Ø
How many Recall appointments are
allowed annually? Eg. every 3,6, or 9 months.
Ø
What percentage of coverage is
allowed for the following:
o
Diagnostic services
o
Preventive services
o
Restorative services
o
Endodontic services
o
Periodontal services
o
Major Treatment eg. crowns, bridges,
dentures
Ø
What is the annual maximum for major
treatment?
Ø
Is Endodontic and/or Periodontal
treatment classified as basic or major treatment?
The following information is required when
patients call their insurance company.
Ø
Name of subscriber.
Ø
Employee’s date of birth.
Ø
SIN number.
Ø
Employer.
Ø
Policy number.
Ø
Division number.
Ø
Certificate number.
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