You and Your Dental Benefits

One of the areas people often ask me questions about are dental benefits.  I’m not an expert.  However, the Ontario Dental Association has a great web site with explanations written for the non-dentist.  Check it out here.

This web site covers a number of areas regarding your dental plan including the differences between your plan and the fees that your dentist may charge, claim forms, billing, what to do if your dental claim was denied, the ODA suggested fee guide and more.

If you are having any major work done (i.e. more than routine cleanings, x-rays or small cavities filled), you may want to have your dentist submit a pre-treatment determination to your insurance company.  This way, you will know in advance what the insurance company will cover.  If you are having a bridge, crown or inlay, there may be laboratory fees in addition to the dental fees.

The ODA site also explains many of the common dental procedures.  Click here to read about them. 

They even have an IQ test that you can take. 

Making a claim on your insurance

This summer I have assisted several clients making an insurance claim. Like everything else in life, they seem to come in batches. While none were happy to be making a claim, they were all pleased to receive the insurance proceeds.

Life insurance claims are straight forward – the insurance company needs a death certificate and a claim form. The money in most cases is paid out in less than a month from when you notify me. In both cases this summer (even with a mail strike), I managed to deliver the checks to the beneficiaries in about 2 weeks.

Disability claims require more time and more paperwork. The client I am working with is an employee at one of the groups I insure. I was called as soon as he was off work. The employer and employee have completed their paperwork; we’re just waiting for the doctor to submit theirs.

Do you have long term disability coverage? If you’re an employee – look at your pay stub. If you show an amount deducted beside LTD – you have Long Term Disability coverage that probably starts if you’re off work for 17 weeks. If you have an amount listed besides WI (weekly Indemnity) or STD (Short Term Disability), then you have Short Term Disability as well. As opposed to health and dental benefits, disability only protects your income and not that of your spouse.

You should review your coverage whenever there’s a change in your life. Whether you require Life Insurance to protect your family, Critical Illness Insurance to receive a lump sum payment should you get a life threatening or life altering disease or Disability Insurance to pay you monthly while you are unable to work or a combination depends on your specific situation.

Give me a call. I’d be pleased to walk you through the calculations to determine how much insurance you need and what type meets your specific need.

Do you have adequate coverage?

Do you have adequate coverage? Don't wait to find out? Call me for a no nonsense assessment.

Health and Dental Options for Self Employed

The recent outbreak of H1N1 (Swine Flu) has received a lot of news coverage, and many of us have decided to take precautions to remain in good health.

In times like these, self-employed people may be especially concerned. Without the sort of comprehensive health and dental coverage that many employees receive from their employers, small business owners are right to worry about what would happen should they, or their families, ever require expensive medication or treatment that isn't covered by their provincial plans.

Private health insurance isn't nearly as expensive as you might imagine. Depending on your age, health, the level of coverage and the insurance company, you may be able to obtain both drug and dental insurance for yourself, your spouse, as well as a child, for as little $165 a month (based on two non-smoking 40-year-old adults, with a 15-year-old child).

The best part is that you may be able to write off the entire amount as a business expense. In 1998, the federal government made these premiums tax deductible for self-employed individuals!

If you'd like to discuss the various health and dental plans available in the Canadian marketplace, I hope you won't hesitate to contact me at the number above. I'd be happy to shop around and find a plan that's right for you.