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Dental/Denture Coverage Adults

Introduction | Emergency Dental | Denture | Who to Contact

Introduction

In Peel, dental care for adults is administered by Great West Life Assurance Company. An appointment can be made with the dentist of choice and the dentist will review coverage with the client at the time of the appointment.

Emergency Dental Program for Adults

OW in Peel provides emergency dental coverage to social assistance clients 18 years of age and older and dependent adults (18 years of age and older) whose parents are receiving ODSP.

An emergency is defined as "an immediate circumstance where the patient appears in immediate suffering, requires care and immediate appropriate treatment is instituted to correct the problem".

  • Coverage is a discretionary benefit.
  • This program is administered by the Great West Life Assurance Company.
  • The program is limited to the listed procedures and fees outlined in Peel’s Schedule of Emergency Dental/Denture Services and Fees.
  • Clients will be expected to pay:
    • For services not covered in Peel’s dental/denture fee guide; and/or
    • The difference for services exceeding the maximum amounts listed in Peel’s dental/denture fee guide.
  • Coverage takes effect on the date the person becomes eligible to receive OW and continues in each month you are eligible for assistance.
  • Coverage terminates the last day of the month OW ceases.
  • Pre-determination of treatment is not required under the Emergency Dental Program.

Denture Program

OW in Peel provides denture coverage for clients receiving OW assistance and recipients receiving ODSP.

  • Coverage is a discretionary benefit.
  • The program is administered by the Great West Life Assurance Company.
  • The program provides a basic denture program that covers dentures, denture repairs and relines.
  • Coverage takes effect on the date the person became eligible to receive OW or ODSP.
  • Recipients of ODSP must reapply through the OW office each time there is a need for denture services.
  • Coverage terminates the last day of the month OW or ODSP ceases.
  • Pre-determination of treatment is required under the Denture Services Program.

Who to Contact

Dental care providers should direct their inquiries to GWL at
1-800-957-9777 prior to contacting Ontario Works.

Clients should direct their inquiries to their Caseworker.

For general inquiries regarding dental coverage contact Ontario Works by:

Use this link to access our Schedule of Emergency Dental/Denture Services and Fees.

Revised: Friday October 29 2010

www.peelregion.ca

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