DENTAL / EXTRAS BENEFIT TABLE			DENTAL
SERVICE		WAITING PERIOD	BENEFIT	SUB-LIMIT	FIRST YEAR MEMBERSHIP	LIFETIME LIMIT	CALENDAR YEAR LIMIT
General & Major Dental	Preventative Dental	2 months	100% *		$350 Maximum benefit payable per person		$1,050 Maximum benefit payable per person once first year is completed
		General & Major Dental	2 months					70% **
		Inlay/Onlay, Crown & Bridge, Implants and Indirect Restorations.	2 months	As per dental schedule				1st calendar year of membership $350
										2nd calendar year of membership $450
										3rd calendar year of membership $500
										4th calendar year of membership $550
										5th calendar year of membership $600
										6th calendar year of membership $650
		Dentures	12 months	every 3 yrs ***
		Orthodontics	24 months	50% up to $600		$600 Per person per calendar year		$1,500 Per person

* Dental 100% benefit available at super dental providers. For more information see Gap Free Preventative Dental.

** Percentage based on MHF dental schedule

*** Full set of dentures claimable every 3 years

All benefits subject to waiting periods and benefit limitation periods.

DENTAL SERVICE BENEFIT TABLE
SERVICE		BENEFIT
Preventative Treatment	Periodical oral examination	$59.85
		Emergency consultation	$37.65
		X-Ray	$50.70
		Scale & Clean	$122.70
		Fluoride Treatment	$51.20
General & Major Dental	Surgical Extraction	$204.00
		Filling - Adhesive one surface	$110.60
		Filling of one root canal	$199.80
		Full crown veneer	$650
		Full denture	$1,050

All benefits subject to waiting periods and benefit limitation periods.