Alberta Dental Fee Guide

A dental fee guide has been set to be released in 2017 following a number of complaints against sky-rocketing dental fees.

Alberta has been the only province since 1997 without a dental fee guide, allowing dental practitioners to charge increasing prices for their work. As seen in the graphic below, 62% of Albertans limit their dental visits due to high costs and 87% of Albertans agree that dental costs are far beyond reach. 

Although the fee guide will create a guideline, it might have a negative affect on people with dental plans. A Red Deer dentist suggested that insurance companies will use the fee guide as an opportunity to reimburse at a lower level, which will not be taken into consideration when creating the guide. 

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Frequently Asked Questions about Dental Plans

It is important to ask your dentist to send in a pre-authorization or estimate to the Chambers Plan before you proceed with any unknown or expensive dental work. 

Some dental clinics will make you pay 100% of the cost upfront and some will allow you to pay the difference at the counter. The dentist's office will generally ask you to leave a credit card on file and they will collect payment from The Chambers of Commerce Group Plan. For example, if you have 80% coverage on your plan, they will ask for a 20% deposit after your visit. 

Be sure to show the dentist your wallet card, it has the direct billing information they need to get you and your family set up for electronic claims submission. 

Carefully review your dental claim form before signing it to ensure all of the information is correct. 

Dental Fees and Fee Guides: 

  • Did you ask upfront what the dentist charges for routine procedures so you can compare to other dentists in your area? 
  • Keep in mind that the treatment plan proposed by your dentist and your decision to proceed with the recommended work should not be based on the amount of insurance coverage your have. However, you should know in advance exactly how much your plan will reimburse you and what you will have to pay out of your own pocket. 
  • Ask your dentist how much they charge and how much will be covered by your insurance plan! 

Coordinating Health and Dental Benefits

Coordinating benefits is common with health and dental plans; it allows employees and their dependants to make the most of their plans by combining benefits to receive 100% coverage on prescriptions and/or health and dental procedures. 

If an employee and his/her spouse both have coverage, the claims should go through the patient's plan first. Any expenses that are not covered by the patient's plan can then be submitted to the spouse's plan along with an explanation of benefits from the initial claim.

If the employee and his/her spouse have dependants, the claim goes through the plan of the parent whose birthday falls earlier in the calendar year, then to the other parent along with an explanation of benefits.  

When parents are divorced or separated, the dependant's claims should be submitted in this order: 

  1. The plan of the parent with custody 
  2. The spouse of the parent with custody 
  3. The parent who does not have custody
  4. The spouse of the parent who does not have custody

Coordinating benefits can help employees to save money on health and dental claims and ensure that they are receiving the most amount of coverage available to them.