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Dental Insurance

Dental insurance is a type of health coverage that helps pay for the cost of preventive, basic, and major dental services. It is designed to make oral care more affordable and to encourage regular checkups that prevent costly procedures later on. Dental insurance is offered through group employee benefits, individual plans, or conversion plans for people leaving workplace coverage.

Typical benefits include cleanings, exams, fillings, extractions, and X-rays under preventive and basic services, while more advanced work such as crowns, bridges, dentures, and orthodontics falls under major or specialized categories.

Dental plans often use annual or lifetime maximums, coinsurance percentages, and recall intervals to manage costs. Coverage can be structured as a standalone policy or bundled with extended health benefits. In Canada, major insurers like Sun Life, Manulife, Canada Life, Alberta Blue Cross, and GreenShield each offer variations that balance affordability with coverage depth.

Example:

If a dental cleaning costs $180 and your plan covers preventive services at 100 percent, the plan pays the full amount. For a $1,000 crown covered at 50 percent, you would pay $500 out of pocket.

What to Watch For:

Review your plan’s annual maximum, as most dental coverage resets each year. Confirm whether major services or orthodontics have waiting periods. Some plans follow the provincial dental fee guide, while others use internal reimbursement schedules.

Related Terms

Dentist

A dentist is a licensed healthcare professional who diagnoses, treats, and helps prevent conditions affecting the teeth, gums, and mouth. Dentists play a key role in maintaining oral health through preventive care, restorative treatments, and patient education. Common services include cleanings, fillings, crowns, root canals, extractions, and oral examinations.

Dependent

A dependent is a person, usually a family member, who qualifies for coverage under someone else’s insurance plan. Dependents are typically the spouse or children of the primary insured person, also known as the plan member or policyholder. Some plans may also cover other individuals who rely on the plan member for financial support, such as a common-law partner or a child with a permanent disability.

Diagnostic

Diagnostic refers to tests, procedures, or evaluations performed by healthcare professionals to identify the cause, nature, or extent of a medical or dental condition. Diagnostic services are the foundation of effective treatment, helping doctors and dentists determine the most appropriate care plan. In health and dental insurance, diagnostic expenses are often covered as eligible services when they are medically necessary and performed by a licensed provider.

Coverage / Benefit

Coverage, sometimes referred to as a benefit, is the range of health or dental services, supplies, or treatments that your insurance plan agrees to pay for under its terms and conditions. Each benefit represents a category of care, such as prescription drugs, dental services, vision care, or paramedical treatments.

Individual Insurance

Individual insurance is a personal policy purchased directly from an insurance company to provide financial protection for a single person or family, rather than through an employer or group plan. It allows you to customize coverage according to your health needs, lifestyle, and budget. Common types of individual insurance include health, dental, life, critical illness, and disability coverage.

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