Pensioners’ Dental Services Plan Benefits
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The PDSP will pay 50% of the following eligible expenses for these procedures, after you satisfy
the annual deductible amount:
• fixed or removable appliances, such as braces;
• surgical services, observation and adjustments and repairs and alterations;
• retention appliances;
• appliances to control harmful habits.
The PDSP will pay 90% of the following eligible expenses for these procedures, after you satisfy
the annual deductible amount:
• orthodontic examinations;
• orthodontic x-rays;
• orthodontic diagnostic casts.
Payment after coverage ends
If your coverage under the PDSP terminates, you will continue to be covered for 31 days after
the date your coverage terminates, for the following procedures:
• endodontics, if the pulp chamber was opened before the date your coverage terminated;
• relining or rebasing of dentures, addition of a tooth to a removable denture and complete
and partial dentures, when an impression was taken before the date your coverage
terminated;
• gold inlays, crowns, and other restorative services, bridges, repairs to bridges, retainers,
abutments and retentive pins for abutments, when a tooth is prepared before the date your
coverage terminated;
• orthodontic services for which you were entitled to a benefit prior to the date your
coverage terminated.
What is not covered
The PDSP will not pay for services or supplies payable in whole or in part under any provincial,
territorial or other public dental, hospital or health plan to which the person is eligible. This
includes user fees and extra billing whether or not legislation allows private plans to cover the
user fees and extra billing.
The PDSP will not pay for services or supplies that are not usually provided to treat a dental
problem, including experimental treatments.
The PDSP will not pay for:
• procedures performed primarily to improve appearance including, but not limited to,
veneers, and porcelain or composite facings on crowns or bridges on molar teeth;
• the replacement of dental appliances that are lost, misplaced or stolen;
• charges for appointments that you do not keep;
• charges for completing claim forms;
• supplies usually intended for sport or home use, such as mouth guards;
• procedures or supplies used in full mouth reconstructions (capping all of the teeth in the
mouth), vertical dimension corrections, (changing the way the teeth meet) including
attrition (worn down teeth), and alteration or restoration of occlusion (building up and
restoring the bite);