For Clients With Insurance
DENTAL INSURANCE (BENEFITS)
Two options are available- and we have them both!
If you have insurance, we can work with your insurance company for direct billing (assignment of Benefits)
You pay us first and then claim from your insurance company (non assignment).
Does World Drive Dentistry bill insurance companies directly?
Yes, we accept insurance payments directly from the insurance companies. Most insurance companies in Canada allow for this with a few exceptions. The advantage of this is that it allows you to keep your money in your pocket and lets us worry about collecting payment . However, you will have to pay your deductible which varies from one insurance policy to another.
What is Assignment and Non-Assignment?
Non-Assignment is where you pay us first and then we submit your claim to your insurance company. We do this electronically and on the spot so you don’t have to worry about it. The insurance company then reimburses you for the portion they cover as part of your insurance policy within a few business days. You can receive the money as quick as 2 to 3 business days at times.
So let’s say for example your treatment plan ends up costing you $1,000 dollars and your insurance company covers 80% of that. You would pay us the $1,000 dollars, preferably using a rewards card to incur reward points, and in a few business days, you would receive $800 dollars back. If your insurance covers 100% of the treatment plan, then you’ll get your entire $1,000 dollars back. There are a few advantages to non-assignment, one of them being getting free reward points on your favorite rewards card.
We can help arrange a payment schedule that allows a patient budget for expenses and get reimbursement that is more conveniently timed.
Active decision-making about oral health care by patients and meaningful involvement in the financial matters of dental care, including the dental plan, is an important part of achieving excellent oral health care.
other DENTAL INSURANCE (BENEFITS)
At World Drive Dentistry, we accept all forms of insurance, both private and government unless something in the policy changes (and that happens frequently ) its a good idea to let us know what policy you hold and would like to use, prior to your appointment or at your first appointment so that we can assist best usage. It’s important for you to know which services are covered by your insurance, and to what extent. Most insurance plans cover up to 80% of general dentistry, oral hygiene, and emergency services. Treatment plans that are cosmetic in nature, such as whitening, implants, veneers, and braces typically may not be covered, but you should always double check.
Government Insurance Plans We Accept
Our office MAY NOT ACCEPT some of the government insurance plans as the situation changes when policy changes occur please call ahead to confirm. The plans offered to eligible Canadian residents in Ontario are five:
- Ontario Works Adult Dental Emergency Program
- Ontario Disability Support Program (ODSP)
- Healthy Smiles Ontario Program (HSO)
- Interim Federal Health Program (IFHP)
- Non-Insured Health Benefits (First Nations & Inuit)
Ontario Works Adult Dental Emergency Program
We accept the Ontario Works Adult Dental Emergency Program Make sure you bring your Ontario Works paperwork with you when you book your appointment.
What services are covered under the Ontario Works program?
The Ontario Works adult dental emergency program covers basic treatment for dental problems that are considered an emergency. This could involve one or more areas of your mouth. Basic services include fillings, as well as extractions and, are covered completely by the program. Some services require government approval and should be discussed with our reception staff for further information. Generally, if the service you need falls into this category, we will send an estimate out for you. However, the government approval process can take up to four weeks. If you are in pain, prescription medication will often be provided for comfort while the approval process is in place.
Do I have to fill out the government insurance form and send it in myself?
No, our reception, admin staff will gladly submit the paperwork for you. It is our goal to make the process as simple and hassle-free as possible so that you can feel better again.
Are Ontario Works patient appointments booked differently than other appointments?
No, appointments are booked the same regardless of the type of insurance (or no insurance at all).
How often can I come in for an emergency appointment?
The Ontario Works adult dental emergency program generally allows for one emergency checkup every three months.
How do I get approval for an Ontario Works emergency visit?
You can call our office for more information.
Ontario Disability Support Program (ODSP)
This program offers dental services for those approved for the program due to certain eligible disabilities.
Does World Drive Dentistry accept ODSP patients?
Although many dentists in Mississauga do not accept the ODSP dental care program, we do. All ODSP patients are welcome. Just bring your ODSP card with you when you come in and we’ll take care of the rest.
What dental services are covered for my family as part of the ODSP program?
ODSP covers a plethora of services at 100%. This includes things like checkups, X Rays, fillings, dental cleanings, root canals and extractions. Procedures like dentures, however, are covered Partially.
Do I have to fill out the paperwork myself?
No, we’ll take care of all that for you, just give us a call to get started.
Do you treat children under ODSP as well?
Yes we do. We’re really good with children and have a lot of experience treating them.
Healthy Smiles Ontario (HSO)
The Healthy Smiles Program is an Ontario government-funded basic dental program providing preventive and early treatment services for children and youth in low-income families, who are 17 years of age or under.
If eligible, your children will get regular dental services at no cost to you.
We can help answer your questions and guide you and apply on your behalf.
What services are covered by HSO?
Healthy Smiles Ontario provides routine, preventive, and emergency and essential treatment services to eligible children and youth. Services covered for clients may vary depending on the oral health of the child/youth.
An examination or assessment by a qualified dental provider will determine the type and frequency of services a child or youth may need.
Covered Services Include:
Preventive Services (Cleanings)
Restorative Services (Fillings)
Endodontic Services (Root Canals)
Oral Surgery Services (Extractions)
Anesthesia (Sleep Dentistry)
Interim Federal Health Program (IFHP)
World Drive Dentistry is an IFHP or Interim Federal Health program registered health-care provider.
Who is eligible for IFHP?
The Interim Federal health program covers certain health benefits for protected people, including resettled refugees, refugee claimants, and certain other groups until they become eligible for provincial or territorial health insurance.
What dental services are covered under IFHP?
For a complete list of covered services please download the IFHP DENTAL BENEFITS
Non-Insured Health Benefits (First Nations & Inuit)
The Non-Insured Health Benefits program (NIHB) is specifically for Canadian First Nations and Inuit people. It is provided by the Canadian government and you get an ID card upon qualification.
We accept -Insured Health Benefits (NIHB) patients
We support the program and will assist eligible members get the benefit of using it to get required Dental treatment.
The NIHB program fully covers check-ups, x-rays, oral cleanings, fillings, root canals, extractions, crowns, dentures and more. For intricate services like Crowns and root canals we have to secure prior approval, granted, it’s a pretty straightforward process. In addition, sleep dentistry is also covered for adults under the Non-Insured Health benefits program.
If you are part of the Non-Insured Health Benefits (NIHB) program and would like to set up an appointment or have any questions, please don’t hesitate to call us directly.