A Dental Accident Report and x-rays must be submitted for prior approval of treatment. Eligible services include standard external prostheses, which replace all or part of a body organ or the functions of a permanently inoperative or malfunctioning body organ. Also included are the replacement, repair, fittings and adjustments of such devices. Confirm eligibility prior to purchasing or renting equipment by submitting a Pre-Authorization Form to Green Shield. Failure to comply may result in non-payment.
Dental coverage commences after a two-month waiting period from the effective date of coverage.
Tests and Laboratory examinations including biopsies. Treatment planning for extra time spent on unusually complicated cases or where the patient demands unusual time in explanation or where diagnostic material is received from another source. Usual case presentation time and usual treatment planning time are implicit in the examination fee and in the radiographic interpretation fee. This benefit is limited to 2 units of time every 12 months. Cleaning of teeth, and the topical application of fluoride once every 9 months.