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Home Department Veterans Services Programs of Choice POC Dental Services POC 4

POC 4 - Dental Services

Program Description

This program offers basic dental care adn pre-authorized comprehensive dental services. You are also entitled to receive denturs from your dentist, or in those provinces where they are licensed to practice, your denturist. The treatment must result in the most reasonable functional outcome for the client while not placing the client's overall health at risk. Procedures will not be approved where there are more conventional evidence based treatments which are both acceptable and cost-effective alternatives.

Examples of covered benefits are:

  • annual basic treatment (cleanings and fluoride treatments)
  • fillings

Examples of exluded benefits are:

  • implants
  • equilibrated/custom/semi-precision dentures

Some forms of dental treatment are restricted to pre-determination. In other words, the provider must obtain VAC's approval of payment prior to commencement of treatment.

Examples of treatment requiring pre-determination are:

  • any annual basic treatment exceeding $600 or frequency
  • crowns
  • bridgework
  • specialist treatment (referral required)

Who is Eligible?

Two groups of clients are eligible for health care benefits through VAC.

Group "A" clients: You must have established eligibility for a pension from Veterans Affairs Canada. You may only use your card to obtain approved benefits directly related to your pensioned condition. Your provider must obtain authorization from VAC before benefits can be provided.

Group "B" clients: You must have established eligibility for treatment of non-pensioned conditions. You are eligible for approved benefits provided you have a clearly demonstrated health need and these benefits are not covered by your provincial health plan. If you are a "B" client, your provider must bill the appropriate provincial health program for the portion of the benefit that is covered by your province.

To be eligible for benefits under POC 4, you must have an "A" or a "B" under POC 4 on your VAC Health Care Identification Card. Your access to benefits will depend on your eligibility and on your health care needs.

Program Details

Benefits available through Program of Choice 4 may be subject to certain limitations or restrictions. These are in place to help safeguard your health and to serve you better.

Questions About POC 4
General Questions and Answers
 
Updated: 1999-4-12
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