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CSI Dental Plan Coverage Chart

  Insured Portion1 Studentcare Dental Network Savings Total Coverage
Preventive Services
- recall exams2
- cleanings2
- scaling2
70% 30% 100%
Fillings3 and extraction of impacted teeth4 75% 20% 95%
Endodontics and periodontics5 10% 20% 30%
Major Restorative
- crowns
- bridges
- dentures
10% 20% 30%



The maximum paid by Sun Life Assurance Company of Canada per policy year on the insured portion of the Dental Plan is $750.

1 Percentage of Provincial Dental Fee Guide Cost for General Practitioners (in the province where service was performed).

2 Recall exams, cleaning/polishing, bitewing x-rays, and the application of fluoride are covered once per policy year. Scaling is covered up to 4 units per policy year. A complete exam (sometimes called a new patient exam) is only covered once per policy year. A complete set of x-rays or panorex x-rays is covered once per 36 months.

3 Fillings in amalgam (metal) and composite (white) fillings are covered for all teeth. Tooth-coloured fillings are limited to once every two years on the same tooth surfaces. 

4 The extraction of impacted teeth is considered to be part of preventative services by Sun Life Assurance Company of Canada. The Studentcare Dental Network reduction, however, will be 20%, as this is considered oral surgery in the Provincial Dental Fee Guide for General Practitioners.

5 Certain maximums exist. Contact Studentcare for more details.

Certain exclusions and limitations may apply. Prior to dental treatment for work that is expected to cost $300 or more, students should submit a treatment plan (obtained from your dentist) to Sun Life Assurance Company of Canada for approval.

Note: Services performed by an orthodontist aren't covered by the Dental Plan.

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Universal Ave Dental
203 Lester St.
Waterloo, ON N2L 3W4

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Monday to Friday: 8:00am - 5:00pm
Saturday: 8:00am - 5:00pm
Sunday: Closed

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universal.avenue.dental.clinic@gmail.com
+1 519 992 9123
+1 519 992 9123