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Group Dental Benefits for Canadian Employees

Dental coverage is one of the most visible parts of an employee benefits plan. Clear categories, limits and expectations help employees understand its value.

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Group dental benefits can reimburse eligible preventive, basic and major dental services. Every policy defines these categories differently, so the headline reimbursement rate is only one part of the coverage.

The right design reflects employee priorities and the employer budget. A thoughtful plan can support routine care while setting sensible limits for more expensive procedures.

Understanding the benefit

What dental benefits may include

Coverage depends on the insurer schedule and may include:

Preventive care

Eligible examinations, diagnostic services, cleanings and other routine care at the frequencies defined by the plan.

Basic services

Services such as fillings, extractions or some endodontic and periodontal treatments, based on the policy definitions.

Major services

Crowns, bridges, dentures or orthodontics may be included with separate reimbursement levels, maximums or waiting periods.

Plan design

What employers should compare

Check the provincial fee guide and year, reimbursement by category, annual maximums, recall frequency, scaling limits, replacement intervals and predetermination requirements. A larger maximum is not automatically more valuable if important services are excluded.

Three questions to ask

  1. 1 Which preventive, basic and major procedures are included in each proposal?
  2. 2 Are the reimbursement levels, frequency limits and annual maximums easy for employees to understand?
  3. 3 Would a core insured plan, broader coverage or a spending-account supplement best fit the budget?

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Build the right plan

Turn benefit options into a workable plan.

A NextGen advisor can help you compare coverage, understand the trade-offs and build a sustainable benefits program for your organization.

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