About Saint Mary's
Major Restorative and Orthodontic Services
Major Restoratives include a 70% reimbursement level to a combined maximum with Basic of $2,500 per calendar year.
Dental benefits are based on the usual and customary charges up to the current Dental Society Fee Guide for general practitioners in effect in the prescriber's province of residence.
- Major repairs and restorations, including inlays, onlays, and crowns
- Complete dentures-limited to one complete upper and one complete lower denture in five calendar years
- Partial dentures-limited to one partial upper and one partial lower denture in five calendar years
- Transitional dentures-limited to one complete upper transitional and one complete lower transitional denture in five calendar years and/or one partial upper transitional and one partial lower transitional denture in five calendar year
- Fixed bridges
Implants and restoration over implants to a maximum of one tooth every 10 consecutive calendar months.
This program excludes replacement of the denture unless it is at least five years old and cannot be made serviceable, and, the replacement of dentures that may have been lost, mislaid or stolen.
Payment is at 50% of the Eligible Expenses up to the current Dental Society Fee guide for general practitioners in effect in the Subscriber's provice of residence.
The maximum payment id $2,000 per lifetime per participant under age 19.