Dental Insurance

The coverage under the ONA Dental Care Plan
provides comprehensive services to meet the
needs of Members and their families.

 

Dental care plan:

• 80% Preventative Services, including:
  • Oral examinations once every 6 months
  • Cleaning, polishing, and fillings
  • Scaling (8 units every 12 months)
• 80% Restorative Services (Endodontic & Periodontic), including:
  • Extractions and root canal treatment
  • Treatment for diseases of tissue and gums
• 75% Major Restorative Services, including:
  • Installation of crowns
  • Replacement of dentures or fixed bridges
  • Oral surgery
• 50% Orthodontic Services*:
  • For children up to age 19
  • Limited to a lifetime maximum of $2,000 per insured

Combined annual maximums for preventative, restorative and major restorative services is $1,200 per insured person, per calendar year.
 

As a new member or if you are losing coverage, you can enroll in the Dental Plan without providing medical evidence (subject to being actively at work) within 60 days of:

• the first day you became an ONA Member;
• the day you lost coverage due to a change from full-time to part-time status;
• the day you lost coverage under your (or your spouse’s) employer benefit program, or any other group plan; or
• the day you lost coverage due to retirement.

 

Additional information on plans and application form: 

Dental Insurance Rates (PDF)

Dental Care, and/or Extended Health Care Application (PDF)

 

Please complete the above application, save, and submit to [email protected] along with any supporting documents.