Effective April 1, 2019, OHIP+ will no longer provide drug coverage for individuals under the age of 25 who have access to private insurance. Therefore, prescription drug claims for children and youth 24 years of age and younger with private plan coverage will have to be submitted directly to their private plan. Click here for details!

Dental Care Benefits

Reimbursement:

Provincial Fee Guide of employee’s home province for the year determined from time to time by the Trustees.

Deductible:

Nil

Percentage Payable:

Basic Procedures:100%

Major Procedures:100%

Calendar Year Maximum for Basic and Major:

Procedures combined
$3,000 per individual

Limits:

1 complete examination every 24 months
1 full mouth x-ray every 24 months
1 recall or specific examination every 6 months
2 treatments of Prophylaxis in 12 months
Bitewing x-rays limited to 6 films every 6 months
Tests and laboratory examinations (procedure codes 04101-04401) once per year
8 units of scaling or root planning per calendar year  
8 units of occlusal equilibration per calendar year
Oral Hygiene once every 6 months under age 15
Denture Relines/Rebases/Repairs once every 24 months
Bridges and Crowns must be 5 years old to be replaced
Study Casts once per calendar year 
Topical application of sodium or stannous fluoride to dependents under 19 years of age, limited to 2 treatments in 12 months

Orthodontic Benefit:

Treatment 50% Payable

Lifetime Maximum:

$2,000

Must be under age 21 to claim Orthodontic benefit.
Limit of one Orthodontic treatment plan per lifetime.

Claim Forms

Brochures:

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Teamster Local Union 230 Members' Benefit Fund c/o Benefit Plan Administrators
90 Burnhamthorpe Road West, Suite 300 Mississauga, Ontario L5B 3C3