Alberta Dental Fees 2017

This information is intended to assist with the administration and management of group benefits plans.

Alberta Dental Fees 2017

Effective January 1, 2017, Manulife’s overall average increase in the dental reimbursement limits for the province of Alberta is 2.3%. This increase reflects a fair and reasonable balance between the interests and needs of both plan sponsors and plan members, and is consistent with current economic trends, such as the general inflation rate in Alberta.

Process for determining reimbursement limits

The Alberta Dental Association (ADA) has not published a fee guide since 1997. As a result, insurers must develop their own guidelines and reimbursement limits for Alberta. Manulife uses its own Alberta claims data when determining the increases and reimbursement limits. The increases in Alberta will become effective January 1, 2017.

Striking a fair balance

Manulife’s 2017 increases in reimbursement limits for Alberta mean that approximately seven out of ten dental claims submitted will be eligible for payment in full*, based on 2016 claims data. Any difference between what a dentist charges, and what the benefits plan pays, is ultimately the responsibility of the plan members.

The following chart contains a list of dental fee increases broken out by category and procedure.

Category
% Increase over 2016
Diagnostic (Examinations)
3.6
Preventative (Cleaning & Scaling)
1.7
Basic Restorative (Fillings) 20000 to 23999
1.8
Major Restorative (Crowns) 24000 to 29999
1.8
Endodontics (Root Canals) 30000 to 39999
3.1
Periodontics (Gum Treatment) 40000 to 49999
2.5
Removable Prosthodontics (Dentures) 50000 to 59999
2.7
Fixed Prosthodontics (Bridges) 60000 to 69999
5.0
Surgical 70000 to 79999
2.6
Orthodontics 80000 to 89999
0.0
Adjunctive (Anaesthesia) 90000 to 99999
6.3
Overall Fee Increase for 2017
2.3

For additional information on Alberta’s 2017 increases, dental fee guides, and for plan member educational materials, please visit our website. If you wish to discuss the reimbursement levels in greater detail, please contact your Manulife representative.

* Claims are paid according to the terms of your individual group benefits plan.