Using Your Canada Protection Plan Dental Insurance At The Dentist

Be Sure To Bring Your Canada Protection Plan Dental Insurance Identification Card To Your First Visit

When visiting the dentist for the first time, it is crucial to bring your Canada Protection Plan Dental Insurance identification card. This card typically includes information such as your policy number, coverage effective dates, and contact details for the insurance provider. When you provide your dentist with your Canada Protection Plan Dental Insurance ID card, they are able to do the following:

Verify Coverage:

The dentist can use the Insurance Identification Card to verify the patient’s coverage details, ensuring that the patient’s dental treatment falls within the covered period so that you, the patient, get reimbursed.

Submit Claims:

With the patient’s Insurance Identification Card, the dentist can initiate the claims submission process on behalf of the patient. This involves providing the necessary details to the insurance provider, ensuring that the treatment records align with the coverage outlined in the insurance plan.

Predetermination Requests:

Not sure if your Canada Protection Plan dental insurance will cover the cost of major dental procedures such as dental implant, bridges and crowns? If a particular procedure requires pre-authorization, the dentist can initiate the request using the information from the Insurance Identification Card. This helps in obtaining approval from the insurance provider before proceeding with the treatment, minimizing potential disputes regarding coverage.

Communicate With The Insurance Provider:

In cases where clarification is needed or additional information is required, the dentist can communicate directly with the patient’s insurance provider using the details on the Insurance Identification Card. This facilitates efficient and accurate information exchange, ensuring that the patient’s coverage is understood and applied correctly.

Coordinate Benefits For Multiple Procedures:

If the patient is undergoing multiple procedures, the dentist can use the Insurance Identification Card to coordinate benefits. Coordination of dental benefits comes into play when an individual is covered by multiple dental insurance plans. In situations where a patient has dual coverage, such as through their own dental plan and a plan from a spouse or partner, the coordination of benefits ensures that the available coverage between multiple plans is optimized to minimize out-of-pocket expenses.

For more information about how Atlas Dental works with your dental insurance, please read our Dental Insurance Policy.