Capital Health Dental Benefit Program Feb 2012

Tuesday, February 14, 2012 - 1:36pm

Get the Most from Your Dental Visits

Just as you might look for the best value when shopping for gas or groceries; it pays to be as aware of the cost of dental treatments and services. From October 2010 to September 2011, the Capital Health dental plan paid out over $5.6 million in claims.

Ask Your Dentist Questions

Dental procedure codes (five digits) are listed on the bill you receive from your dentist. These codes indicate to the insurer which procedures your dentist completed. However, there is often no description of the work that was completed, so it may not be clear to you what you’re authorizing. If an error was made and you couldn’t tell based on the description, you and your plan could end up being overcharged.

For instance, did you know that one unit of scaling is 15 minutes long and costs $37 based on the suggested Nova Scotia Dental Fee Guide? Ask your dentist how many units you are being billed for. You might only receive a ½ unit of scaling (costing $19) if the full unit isn’t required.

Polishing often follows scaling. Similarly, if you only received seven minutes of polishing, you should only be charged for ½ a unit of time ($12.50 instead of $25 for a full unit). And if you already reached the maximum for the plan year, you could be out of pocket for this extra charge.

Contact Information

If you have any questions about your benefit coverage you can refer to Payroll And Benefits: Benefit Booklets and Forms located on the intranet. If you have any direct questions with respect to dental claims, contact Medavie Blue Cross at 1-800-667-4511.