When it comes to complete dentures in Calgary, the first thing on everyone’s mind is Alberta Health Care coverage. Dentures will improve your eating, speaking, and smiling significantly, but the cost will be prohibitive to most patients. Alberta Health Care does not cover dentures in full for every citizen. There are some government benefits and programs that exist for the poor and seniors that can reduce the costs somewhat, however.
Understanding which plans cover your case can make managing the financial side of denture treatment easier. Understanding where you are in regards to coverage will allow you to plan your treatment and not get hit with unexpected bills.
Who Qualifies for Alberta Dental Coverage for Low-Income Individuals?
For persons who fall under low income, there are provincial programs that offer assistance to cover denture costs. Alberta Dental Coverage for low-income persons can cover part of the cost of building dentures, adjustments, or repairs.
These programs typically require you to meet certain eligibility criteria:
- Proof of low-income status or enrollment in specific government aid programs.
- Pre-approval before starting denture treatment.
- Receiving treatment from a registered denturist or dentist enrolled with the Alberta Dental Assistance program.
What is Covered Under Alberta Health Care for Seniors?
Alberta seniors also enjoy other benefits under the Coverage for Seniors Program, which can pay for dental care. Alberta Health Care for Seniors covers part of the costs of denture services such as:
- Basic denture fabrication (partial or complete).
- Adjustments and relines for a proper fit.
- Repairs or replacement, depending on the condition.
Cosmetic improvements or higher-level dentures aren’t necessarily completely covered, however. Your denture clinic in Calgary will let you know what is covered under your plan.
What Are the Factors That Affect Denture Coverage?
There are a few factors that decide whether your cost of dentures is covered, such as:
- Nature of the treatment needed: Partial or full dentures can be covered to a certain extent.
- Treatment provider: The treatment is typically required to be provided by an Alberta Health Programs-approved dentist or a licensed denturist.
- Annual benefit limits: There are some programs which have a yearly limit they will cover for dental procedures.
How to Apply for Denture Coverage?
Applying for denture coverage in Alberta is straightforward:
- Check eligibility: Determine if you qualify for low-income or senior benefits.
- Get a pre-approval estimate: Your dentist can provide a treatment plan to Alberta Health or the Alberta Dental Assistance program.
- Be aware of your out-of-pocket costs: You will have to pay some of the fees even if you are insured.
Your Perfect Denture Fit is Just a Call Away; Book Your Visit Now!
If you are not sure your dentures are covered or would like expert advice on your best solution, call North East Denture Clinic today. We can guide you through your treatment choice, cover issues of coverage, and assist you in achieving a comfortable, confident smile.
FAQs
Is Alberta Health Care full coverage for immediate dentures?
Medically necessary basic immediate dentures are covered, but cosmetic finishes are not.
Do low-income programs cover denture repairs?
Low-income programs usually cover basic relines and repairs to maintain dentures.
Are elderly people covered for full denture insurance?
No, partial coverage usually goes to the elderly, and some premium coverage requires extra payment.
Can I obtain replacement denture coverage if I already have one?
Yes, but Alberta Health plans generally call for several years between replacements.
How do I check my coverage?
You can check by contacting Alberta Health, looking over your plan, or having your denture provider call in a pre-determination request.