Dental Coverage | 60+ Plan

Annual Maximum: $1,000 per person, per year.

Deductible: $0.

Reimbursement: 30%–70% for basic and major services, set by your coverage level. Your coverage level is tied to how many eligible hours you worked at IATSE 891 over your career.

Basic Dental Coverage

Includes diagnostics, preventative care, minor restorations, and maintenance services:

Diagnostic Services:

• Complete Oral Exam: Every 36 months. Covered only if no claim has been paid for any other exam by the same dentist in the previous six months.

• Limited Oral Exams: Two per calendar year. Only one limited oral exam is covered in a 12-month period that also includes a complete oral exam.

• Periodontal & Specific Exams: Two per calendar year each.

• Emergency Exams: As needed.

• X-Rays: Complete series (36 months), Intra-oral (15 films/36 months), Panoramic (24 months; not covered in the same 12 months as a complete series of x-rays).

• Casts & Consultations: One cast per calendar year, two consultations per calendar year.

  
  

Preventative Services:

• Polishing & Fluoride: Twice per calendar year.

• Scaling: Covered.

• Sealants: Once every 24 months (bicuspids & permanent molars).

• Space Maintainers: Includes appliances for harmful habits.

• Other Services: Finishing restorations, interproximal disking, recontouring of teeth.

Minor Restorations:

• Caries, Trauma & Pain Control: Covered.

• Retentive Pins & Posts: For fillings.

• Prefabricated Crowns: One per tooth every 2 years.

• Inlays & Onlays: Covered; replacements after 5 years if unserviceable.

• Gold Foils: For repairing existing gold restorations.

• Fillings: Amalgam and tooth-colored; replacements after 2 years or if not previously covered.

Endodontic Services Coverage

• Root Canal Treatment: One course per permanent tooth every 5 years.

Periodontal (Gum) Services Coverage

• Root Planing: Covered.

• Periodontal Surgery: One per sextant every 5 years (gingival curettage, osseous surgery).

• Occlusal Adjustment & Equilibration: Up to 4 time units (15 min each) per year.

  
  

Denture Maintenance:

• Relines: Once every 24 months (for dentures at least 6 months old).

• Rebases: Once every 24 months (for dentures at least 2 years old).

• Resilient Liners: Once every 36 months (post 3-month care period).

• Repairs & Additions: Covered after the 3-month care period.

• Adjustments: Once every 12 months (post 3-month care period).

• Tissue Conditioning: Twice every 60 months (post 3-month care period).

• Bridgework Repairs: Covered, including removal and re-cementation.

Adjunctive Services:

• Emergency Pain Relief: Minor remedies for dental pain.

• Therapeutic Injections: Covered.

• Anesthesia: For covered dental services.

Oral Surgery Coverage

• Tissue Remodelling & Recontouring: Covered services.

Major Dental Coverage

Covers restorative work like crowns, dentures, and veneers:

Crowns

• When Covered: For teeth with extensive structural loss.

• Crowns on Molars: Limited to the cost of metal crowns.

• Complicated Crowns: Limited to standard crown costs.

• Replacement Crowns: Covered after 5 years if existing crown cannot be repaired.

Dentures

• Types Covered: Standard complete dentures, cast/acrylic partial dentures, complete overdentures, or bridgework (if dentures are not viable).

• Material Limits: Tooth-colored retainers/pontics on molars are covered at metal costs.

• Replacement Appliances: Covered if:

  • Existing appliance is temporary.

  • Existing appliance is 5+ years old and irreparable.

  • Less than 5 years old but unserviceable due to new opposing appliance or additional extractions (limited to replacing added teeth if repairable).

• Additional Coverage:

  • Denture-related surgery for tissue remodelling/recontouring.

  • Denture remakes once every 36 months (post 3-month insertion period).

Denture Maintenance

• Includes adjustments, relines, and repairs of dentures.

• Periodontal Appliances: Including adjustments, relines, and repairs.

• Additional Bridgework: Within 60 months in the same arch, coverage is limited to adding teeth to a denture and restoring abutment teeth where needed for reasons other than the bridgework.

Veneers

• When Covered: For extensive structural tooth loss.

• Replacement Veneers: Covered after 5 years if irreparable.

What's not covered

Equilibrated or gnathological dentures, dentures with stress breakers or precision attachments, implant-related dentures and bridgework, and orthodontics all sit outside what the plan covers.

Good to Know

Treatment for an accidental injury to your natural teeth is covered under Medical Services and Supplies.

*Note: Refer to the booklets for detailed information, exceptions, and conditions for availing these benefits.