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Amalgamated Transit Union (ATU) Local 107 - City of Hamilton

Amalgamated Transit Union (ATU) Local 107 - City of Hamilton

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calendar year for persons up to and including age 12 and once every 9 months<br />

for persons over age 12: preventive recall packages, oral hygiene instruction and<br />

reinstruction<br />

Fillings<br />

Extractions -includes root extractions<br />

Anesthesia<br />

Endodontic Services -includes root canal therapy, surgical and emergency<br />

services<br />

Periodontic Services - includes periodontal surgery, root planning and occlusal<br />

equilibration<br />

Denture Repairs, Adjustments, Relining/Rebasing<br />

Surgical Services - includes surgical incision/excision and frenectomy<br />

In-<strong>of</strong>fice and Commercial Laboratory Charges - when applicable to the<br />

covered Benefits<br />

MAJOR SERVICES<br />

Complete and/or Partial Dentures - (once every 4 years)<br />

Restorative Services -includes post/core, crowns, inlays/onlays<br />

Fixed Prosthodontic Services - (once every 5 years) - includes bridgework<br />

In-<strong>of</strong>fice and Commercial Laboratory Charges - when applicable to the<br />

covered benefits.<br />

ORTHODONTIC SERVICES (for dependent children to age 18)<br />

Orthodontic Services -includes observation, adjustments, orthodontic<br />

appliances and major orthodontic treatment<br />

!n-<strong>of</strong>fice and Commercial Laboratory Charges - when applicable to the<br />

covered benefits.<br />

Orthodontic Treatment<br />

Prior to the commencement <strong>of</strong> orthodontic treatment, your dentist must prepare a<br />

report outlining the details with respect to malocclusion, diagnosis, proposed<br />

116

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