Select Dental Care Partners

To enhance your existing coverage, select dentists have agreed to help students by providing savings on certain plan eligible services. You must present your Conestoga Care Card at each visit.

NOTE TO STUDENT: Dentists are not restricted to the fee guide the insurance company uses. Therefore, total coverage may not be exactly as shown.

Insured
Portion*

Dental
Partner
Savings**

Total
Coverage*

Diagnostic and Preventative
- exam, diagnosis, x-rays, polishing & scaling

100%

N/A

100%

Minor Restorative
- fillings & child space maintainers

75%

20%

95%

Extractions (Limited to 2 wisdom teeth per benefit year)

75%

20%

95%

Endodontic
- root canals

10%

20%

30%

Periodontal and Other Oral Surgery

10%

20%

30%

Major Restorative
- crowns, bridges & dentures

10%

20%

30%

Benefit year maximum of $500 and specific limits may also apply.
Pre-approval required for treatment plan exceeding $300.

* Insured portion is based on insurer’s current eligible fee for services rendered, as a result, total coverage amount may differ, depending on the fees charged at the dental office.

** Discount does not apply to lab costs.

To take advantage of the savings brought to you by your student organization, click and find a Select Dental Care Partner in your area.

Dental Plan Coverage

Insurer: Manulife Financial
Polic
y: 38126

Claims can be submitted electronically directly to Manulife Financial. Reimbursment for assigned claims will result in a cheque issued directly to the dental centre.

If the claim is not submitted electronically the dental centre should provide a standard dental claim form. You can visit or contact the CSI Health & Wellness Office about submitting your claim.

CSI Health & Wellness Office

Room 2A100,
Doon Campus
299 Doon Valley Drive
Kitchener, Ontario
N2G 4M4

P: 519-748-5131 Ext.30
F:(519) 896-1644

Click here to email

Health & Dental
Plan Policy #

38126

Pharmacist use
Carrier code:
02 0038126

Manulife Financial