Attention: For optimal viewing, please use Firefox or Google Chrome. This website is not fully supported by Internet Explorer.

Third-party breakdown

Monday, October 23, 2023

Chuck, who lives with a disability, was worried about his dental benefits coverage after his dentist’s billing to his extended health and dental plan was rejected despite Chuck’s active coverage on disability assistance with the Ministry of Social Development and Poverty Reduction (MSDPR). Chuck’s mother called the ministry on his behalf to try and resolve the issue but was unsuccessful. Chuck then received a bill from his dentist for $126. Chuck needed to have the coverage issue clarified and his benefits confirmed prior to his scheduled dental surgery.

We reached out to MSDPR and asked the Manager of Community Relations and Service Quality to review Chuck’s file and follow up with his mother directly. It was determined that there was no issue from the ministry’s end, but rather a technical glitch with the extended health and dental plan provider. The provider fixed the issue and requested that the dentist manually submit Chuck’s most recent bill of $126. Chuck’s mother informed us that the dentist successfully submitted their bill and received payment.