Dental Claim

Use your benefit card when you fill a prescription, when you visit participating paramedical practitioners, when you have an eye examination, for dental visits and vision care purchases. If you do not use your benefit card, these expenses can be submitted for reimbursement directly through the millworkers.onlineclaimsaccess.net portal or mobile app.

Alternatively, use the Dental Claim Form if you’ve paid your dentist the full cost of the services that are covered under the Plan and you wish to be reimbursed. Many dentists will bill the Plan directly for the portion payable under the Plan using their own Standard Dental Claim Form.

Notes
The expenses must have been incurred by you or one of the eligible dependents currently on file with the Plan Administrator.

If the cost of the Dental work will exceed $1000, you should notify the Plan Administrator in advance of the work to ensure that the Plan will cover the expense. Costs not covered by the Plan must be paid by you.

Completed forms should be forwarded to the Plan Administrator.

Frequently Asked Questions
My spouse also has dental coverage through work, how do I coordinate my claim with my spouse’s benefits plan?

• If a Member or any eligible Dependents are entitled to receive similar benefits simultaneously under the Health Benefit Plan or any other group insurance plan (including Provincial Plans), to prevent over payment, benefits payable under this Plan would be co-ordinated with the other Plan.

  For example: A Member’s wife is covered under her employer’s plan with family coverage. The Member, his spouse and their three children are all covered under both Plans. To determine which plan would be primarily responsible for the dependent children: Between the Member and the spouse, whomever’s birthday falls first in the calendar year, their plan is responsible for the initial reimbursement of benefits for the dependent children, then, any amounts that are not paid by that Plan are submitted to the other parent’s plan.

  In the event that the Member’s birthday is in April and the spouse’s birthday is in January. The spouse’s plan would be primarily responsible for the spouse’s claims and the claims of the children. Any amounts not paid by the spouse’s plan can be submitted to the Member’s Plan for reimbursement. Any amounts for the Member that are not paid by the Member’s Plan can be submitted to the spouse’s plan for reimbursement.

Other questions on completing the form should be directed to the Plan Administrator.

Plan Administration Office

45 McIntosh Drive
Markham, ON L3R 8C7

Phone 1-800-263-3564
Fax 905-946-9700
Email: questions@millworkersuniforbenefits.org