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Pharmacy Asymptomatic Testing Program

Albertans are encouraged reach out to a participating pharmacy for more information about how to arrange a test.

Get the most from your benefits

Learn about the advantages of being an Alberta Blue Cross member.

Learn about the advantages of being an Alberta Blue Cross member.

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A guide to your dental benefits

Being as informed as possible before having dental work completed can help you reduce the amount you will pay out-of-pocket.

Here are some actions you can take that will help you make informed decisions about your dental benefits.

Dental landscape

The Alberta Dental Association and College (ADA&C) introduced a new fee guide effective January 1, 2018. The intent of this fee guide was to eventually provide standard rates for all dental services in Alberta. Because the rates included in the guide were less than those currently being charged by many Alberta dentists, the hope is that dental fees across the province would be lowered and Albertans would realize dental savings.

While some dentists have adopted the new ADA&C guide, following the guide remains strictly voluntary. This means that Alberta dentists still, ultimately, charge varying prices for dental services.

Identify your coverage

Two of the most common bases of payment referenced by our plans that include dental coverage are the Alberta Blue Cross Dental Schedule (ABCDS) and the Usual and Customary (U&C) dental fees. We have information available for both bases of payment including information on how much is covered.

The first step in helping you find out more about your dental coverage is to identify which base of payment your plan uses.

How to view your coverage

  1. Sign in to our member site(or register to use it if you haven’t already done so).
  2. Under the “Your benefits” tab, click “Dental”.
  3. Take a look at the highlighted line on the Dental page. It will tell you which base of payment your plan uses and clicking on the link will provide you with some additional information about that base of payment and how much is covered for some common dental procedures.

Get to know your coverage

Now that you know which base of payment your plan uses, we want to provide you with some information about your specific base of payment and take a quick look at your plan’s rates for some common dental procedures.

We recommend you familiarize yourself with your plan’s rates before visiting your dentist and consider printing off some the info below so that you can show your dental office what your plan pays.

Note: Your plan may pay according to one of these three guides. To confirm which fee guide applies to you, please sign in to the member site for your detailed benefit booklet.

Resource Description Download
2020 Usual and Customary dental fee resources* Intro and common proceduresThe 2020 Usual and Customary Dental fees are aligned with the 2020 ADA&C fee guide View/download
2020 Alberta Blue Cross Dental Schedule resources* Intro and common procedures View/download
Alberta Blue Cross Individual Health Plan dental basis of payment* Intro and common procedures View/download

Learn how to reduce out-of-pocket dental expenses

Contact your dental office to let them know you have coverage with Alberta Blue Cross and be prepared to ask the right questions.

If they answer yes, then you could find yourself paying less out-of-pocket as the fees in that guide are, on average, lower.

While dentists can charge varying fees for dental services, our most recent data shows that approximately 48 per cent of Alberta dentists were charging according to the 2019 Alberta Dental Association and College (ADA&C) fee guide.

If you are unable to determine if the dentist charges according to the ADA&C fee guide, here are the fees of a few common procedures you can ask about specifically.

Procedure Procedure # ADA&C Fee
Complete examination 01103 $105.92
Two bitewing images 02142 $47.05
Panoramic 02601 $92.19
Scaling 11111 $70.10
Polishing 11101 $62.46
Fluoride 12111 $30.26

This will help you determine what is covered by your plan and what you will pay out-of-pocket prior to receiving treatment.

Predeterminations are sent electronically and most are processed instantly.

This will help determine how much if anything, you'll have to pay up front and if they submit your claim on your behalf.

If they direct bill your insurance, you only have to pay the amount that wasn't covered.

If you have to pay up front, make sure you ask if they will submit the claim on your behalf.