MSI Update

May 28, 2013 | Posted in General Information | Be the first one to comment

Many of you may or may not already be aware of the recent changes made to the MSI dental coverage for children. As of May 30, 2013, children will be covered for basic dental services up to the end of the month of their 14th birthday. This is a significant improvement over the previous age of 10!

Coverage for children has remain unchanged; i.e. children up to 14 will be covered for examination, 2 bitewing radiographs and one preventitive service per year. Children with a history of cavities (and subsequent fillings) will be covered for fluoride treatments twice per year. Restorative services are covered as per usual. Emergency treatments are often covered when accompanied by an explanation of the emergency service provided by the dentist.

Any children covered by another insurance provider(s) must have all claims submitted to the primary insurance provider(s) before being submitted to MSI. Any remainer may then be submitted to MSI. They will cover the co-pay portion of any services which they would normally cover. Parents will be responsible for balances on non-insured treatments only. 

There are some services that will not be covered by MSI such as Panorex radiographs, extractions for orthodontic purposes, space maintainers (unless the total household income is below the specified criteria), etc. Often, the services covered by MSI are insufficient to completely provide children with the appropriate level of preventative care they require.

Despite the system's shortcomings, this is a siginificant improvement! This will increase the access to care for children into the teen years.

If you have any questions or concerns, please feel free to contact us at Basinview Dental Centre and we will be happy to explain the details of this program further.

Dr. Luke Haslam


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