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Dental Insurance Plans

Your Dental Plan

Your Responsibilities
There are thousands of dental plan contracts in Manitoba and each one is a little different from the next. As a smart consumer, you should make it your job to understand the details of your dental plan, and to supply your dental plan administrator with necessary information such as pre-treatment forms, claims forms or any supplementary information. You are also responsible for making arrangements for payment to your dentist for the dental care received.

Your Dentist's Responsibilities
Your dentist, in accordance with the The Dental Association Act and applicable regulations, will give you information on available treatment options appropriate to address your dental care needs, regardless of the nature and extent of your dental plan coverage. In addition, the dentist will assist you by supplying information required to enable you to receive benefits to which you may be entitled under your dental plan.

How Your Dentist Helps With Your Dental Plan
Your dentist will be happy to supply you with the claim and pre-treatment forms you that you'll need to receive benefits through your dental plan.

Sometimes your plan administrator may request additional information in order to ensure that the treatment is covered by your plan. In such cases the plan administrator will write to you and ask you to obtain the information from your dentist. Your dentist will supply any information you request, but it is your responsibility to provide it to your dental plan administrator. This ensures that your health record remains confidential and your privacy is protected.

Dental plans are designed to help patients pay for their dental treatment. However, not all dental treatments are eligible or fully reimbursable. If your dental treatment is only partially covered, you will have to share in the cost of your dental care.

Remember, you are a partner in your oral health. You and your dentist should make all treatment and care decision, based on your actual needs, not on your dental plan coverage. Your dental plan is not a treatment plan!