Mohawk Students' Association
Mohawk Students' Association (MSA)
Dental Plan Coverage Chart
| | Insured Portion1 | Dental Network Savings
| Total Coverage |
Preventive Services
recall exam2, cleanings2 | 70% | 30% | 100% |
Preventive Services extraction of impacted teeth
| 50% | 20% | 70% |
Basic Services fillings3 | 70% | 20% | 90% |
Basic Services oral surgery, endodontics (root canal), periodontics (gum treatment) | 20% | 20% | 40% |
Major Restorative
crowns, bridges, posts | Not Covered
| 20% | 20% |
The maximum paid by Sun Life per policy year on the insured portion of the Dental Plan is $750.
1 Percentage of Provincial dental Fee Guide Cost for General Practitioners (province where service would be performed).
2 Recall exams, cleaning/polishing, bitewing x-rays, oral hygiene