Group Dental Add-On
Add dental coverage to your employer's group plan
If the health plan available through your employer doesn't include dental coverage, Pacific Blue Cross offers an add-on that individuals can purchase to supplement existing Blue Cross group health care plan. The add-on is available in Essential and Enhanced options:
Essential Dental Plan Option
This plan has a sliding scale for reimbursement. After a three-month no claims waiting period, it covers up to:
|
First 12 months |
13-24 months |
25 months+ |
Reimbursement percentage |
70% Basic |
80% Basic |
80% Basic |
Annual Maximum |
$600 per person |
$900 per person |
$1200 per person |
Eligible expenses include:
- Diagnostic expenses
- Preventive treatments
- Restorative treatments
- Periodontal cleaning
- Prosthodontic services
- Oral surgery
In addition, the plan covers emergency treatment of the above services while temporarily outside of BC. There is no financial limit on the amount that will be paid for the services covered over the lifetime of the plan.
Plan Rates
effective from July 1, 2023 to June 1, 2024
|
Single |
Couple |
Family |
Per Month |
$38 |
$78 |
$115 |
Annual |
$434 |
$894 |
$1,312 |
Enhanced Dental Option
The Enhanced dental plan covers all of the essential dental benefits with the addition of endodontics and major restorative services, up to a combined predetermined maximum after 12 consecutive months on the plan.
|
First 12 months |
13-24 months |
25 months + |
Reimbursement percentage |
70% Basic |
80% Basic *50% Major |
80% Basic *50% Major |
Annual combined maximum |
$600 per person |
$900 per person |
$1200 per person |
*We will pay to a maximum of $500 for each covered person every calendar year for major restorative, orthodontic and prosthodontic services.
Eligible expenses include:
- Endodontics
- Major Restorative services, crowns, inlays, onlays, veneers, posts and fixed bridge restorations limited to once every five years when the same tooth is involved.
- Complete or partial dentures limited to one upper and one lower denture every five years. Benefit begins after 24 months of continuous coverage.
- Orthodontic coverage (for dependent children only, benefit begins in year 3). Lifetime maximum is $1000 per dependent child.
Plan Rates
effective from July 1, 2023 to June 1, 2024
|
Single |
Couple |
Family |
Per Month |
$70 |
$139 |
$213 |
Annual |
$793 |
$1,583 |
$2,428 |