The plan reimbursement is based on two components:
- Dental services covered under the AFBS dental formulary.
- Current Dental Association Fee Guide in the province where you reside.
If dental services are provided outside Canada they will be reimbursed based on the current Ontario Dental Association Fee Guide.
The AFBS dental formulary has been designed to cover usual and customary dental procedures, as determined by AFBS, as well as to ensure a high level of Dental Care. Not all dental procedures are available under the AFBS dental formulary. There are limits on the frequency of some of the services and the amount that can be reimbursed.
We encourage you to share your coverage information with your dentist.
| III |
Dental Care |
| Reimbursement Percentage For Each Insured Person |
| Year One |
Year Two |
Year Three |
|
| 50% |
50% |
50% |
|
|
| Annual Maximum for Each Insured Person |
|
Basic Services
(cleaning, recall exams) |
| Year One |
Year Two |
Year Three |
|
| $300 |
$300 |
$500 |
Maximum increases in year three |
|
Periodontal
(gum disease)
Endodontic
(root canal)
Major Restorative Services
(crowns, bridges, dentures) |
| Year One |
Year Two |
Year Three |
|
| $500 |
$500 |
$750 |
Maximum increases in year three |
|
| Annual Deductible |
$50 each Insured Person |
| AFBS Dental Formulary |
AFBS dental formulary will be used to settle all claims. |
Program Handbook > III – Dental Care > Dental Care Eligible Expenses 