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