Retainers

Insurance information

Orthodontic coverage is often a separate benefit in a dental insurance contract. Coverage for orthodontic treatment usually is at the 50% level up to a lifetime limit.

To determine your orthodontic coverage, it is suggested that you call your insurance carrier or speak with the plan administrator where you work and ask the following questions:

  1. Does your plan cover orthodontic treatment?
  2. If so, at what percentage?
  3. Are there any limitations to coverage? (eg. age, yearly maximums?)

All payments are made to our office and then you will need to submit a claim to your insurance company

NOTE: IN THE PROVINCE OF ONTARIO, ORTHODONTICS IS A SPECIALTY AND THEREFORE, CAN’T ACCEPT ASSIGNMENTS AND RENDER ANYTHING  OTHER THAN THE INSURANCE FORMS FOR SUBMISSION TO INSURANCE COMPANIES.

For submission of orthodontic insurance predeterminations:
  1. COMPLETE one of your Dental Claim Forms in the usual manner.
  2. COMPLETE the “Patient Identification” portion of the Certified Specialist in Orthodontics Standard Information Form (CAO form) that you receive from your orthodontist.
  3. ATTACH the Standard Information Form to your Dental Claim Form and submit it to your insurance carrier.

Your insurance carrier will advise you directly, in writing, how much the firm will cover. If you do not hear back from your carrier within two to three weeks, it is suggested that you give them a call.

For co-ordination of benefits

In a situation where two parties both have orthodontic coverage, the person with the birth date earlier in the year is considered the primary or first subscriber (e.g., January birth date as opposed to August). The primary subscriber sends in the documents as outlined, and then sends the reply from the primary carrier to the secondary carrier for approval.

Welcome to Centrepointe Orthodontics. Dr. Chumak and Dr. Zhylich, Ottawa orthodontists, provide personalized orthodontic care to dental patients within the Ottawa area. Call us or email us to book a consultation.