After an extensive survey of all members covered by the PSAC Public Service Dental Plan, we are going to the table to negotiate improvements to our Dental Plan. We have tabled our initial proposals and will be back at the table in May.
We expect for the Plan to be improved and updated to reflect your needs going forward.
This is a separate negotiations process from the one that we are using for our collective agreement. If we are unable to get to an agreement, we have access to binding arbitration.
We have tabled the following improvements:
Improvements to Maximums and Reimbursement
Basic services maximum to be separate from Major restorative. Basic services to have no set maximum and co-insurance at 100% paid
Co-insurance paid at 90%; covered up to $1,700
Increase co-insurance of major restorative and prosthodontic services such as bridges, inlays, onlays, crowns, periodontist services and dentures to 90% paid
Co-insurance paid at 50%
Create a separate maximum and increase the annual reimbursement per person for major restorative and major prosthodontic services to $3,000
Combined Maximum of $1,700 – preventative services count against the maximum
Increase the lifetime maximum per person for orthodontic services to a maximum of $5,000
Current maximum of $2,500
Change the dental fee guide to the current year
Fee guide lags by one year
Eliminate the annual deductible of $25 per single or $50 per family
Improvements in Coverage
Allow the reimbursement of the cost for adults of dental cleaning and polishing and the application of fluoride every six months
Currently 9 months;
6 months is available to children
Increase the number of scaling units (to 12)
Coverage of 6 units which can be expanded to 12 under certain circumstances
Include coverage for implants
Change the definition of eligible child to include children residing with the plan member part-time students, interns, or apprentices.
Only full-time students are covered
Full coverage without limitation for any accident suffered as a result of duties at work
Bite plates and mouth guard coverage to a set maximum of $500 every 3 years
No coverage beyond night guards for tooth grinding
Reduce the time period for replacements for crowns and bridges to 3 years
Replacements are not covered for 5 years
Crowns and veneers for any non-cosmetic reason
Can be excluded in certain circumstances
Allow re-imbursement of cost for a cavity that requires to repair before the 1-year period has expired in children
Ensure that fillings on crowned teeth are eligible
They are ineligible in some cases
One-time limit for teeth whitening of $500
Provide coverage for congenitally missing teeth at any age to correct congenital or developmental defects.
This is only covered for people aged under 19
Review authorizations by the member and who can sign for claims
Improve the ability to make claims electronically
Ensure the plan document is online