Dental Plan

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Maintaining oral health is part of a healthy lifestyle. RTO/ERO is committed to ensuring that our members and their dependents have access to the best possible dental coverage for their insurance dollar. With premium rates and coverage the same for all ages, and the option of choosing a general dental practitioner or a dental hygienist, managing your oral health just got more flexible.

As with all of our group plans, coverage is available to you, your spouse and your dependent children. Please see the eligibility section for details

RTO/ERO members own and manage this group plan, regularly reviewing the coverage and rates to ensure the best value for money. RTO/ERO is a not-for-profit organization. Surpluses above and beyond reserve requirements are “refunded” to the RTO/ERO Health Plans and become part of RTO/ERO’s Health Premium Stabilization Fund.

There are many services aimed at making your Dental Plan coverage more convenient, including:

  • Electronic submission of dental claims
  • Claim payments deposited directly to your bank account
  • Electronic notification of your claim payments
  • Annual Benefit Statement and Tax Letter
  • Secure, online access to claims and benefit information
  • Walk-in service for administration and claim services in the Greater Toronto Area


See the Dental Plan summary of benefits below or review the full Plan information document (PDF). And remember, each and every RTO/ERO District has a District Health Services and Insurance representative to assist members. That's just another way RTO/ERO is “Here for you now, Here for your future.”

 

Fee Guide

  • 2019 Provincial Fee Guide

Dental Plan Details

  • Your coverage will begin on the date Johnson Inc. receives your completed application. As a “late applicant”, the maximum benefit payable during the first 12 months of coverage will be limited to $500 per insured person.


Basic and Preventive Benefit

  • 85% reimbursement
  • Unlimited annual maximum per person
  • Includes x-rays, fillings, oral examinations, and extractions, in addition to other services


Endodontics and Periodontics Benefit

  • 80% reimbursement
  • $850 combined annual maximum per person


Major Restorative Benefit

  • 50% reimbursement
  • $800 annual maximum per person for crowns, posts, onlays and inlays, including those on implants
  • $800 annual maximum per person for fixed bridges and partial dentures, including those on implants