Insurance & direct billing · At Yonge & Dundas
We bill your plan directly.You hear the number first.
The claim is submitted from this office, so there is nothing for you to file afterwards. Before treatment starts, the desk checks what your plan applies to the work and tells you what would be left to pay, while there is still time to do something about it.
See the plans this desk billsHow it works here
Three things this desk does with your plan.
What your plan pays is set by your plan, and the desk goes through it with you.
We submit the claim
This office sends the claim to your plan. There is nothing for you to send in afterwards and no receipt to chase.
- quoted at the exam
The desk checks it before treatment
The desk checks what your plan applies to the work being proposed, and you hear the answer while you can still decide what to do about it.
You hear what is left to pay
If your plan does not cover all of it, you hear the remaining number before you agree to anything. If there is nothing left to pay, you hear that too.
The list
The plans this desk bills.
This list came from the front desk. It covers what gets billed here most often, so call if yours is not on it.
- Canada Life / Great-West Life
- Desjardins
- RBC Insurance
- People Corporation
- SSQ Insurance
- RWAM
- Iron Workers Benefits
- The Co-operators
- Group Source
- Simply Benefits
- Global Benefits
- Coughlin & Associates
- Alberta Blue Cross
- Pacific Blue Cross
- IFHP — Interim Federal Health Program, with Blue Cross
- Manion Wilkins
- Claim Secure
- Nexgen Rx
- MDM Insurance
- Manulife
- OTIP
- Johnston Group
- IA — Industrial Alliance
- Equitable Life Insurance
- Empire Life Insurance
- Chambers of Commerce Benefits
Indian status
- NIHB — Non-Insured Health Benefits
- Big Stone Benefits
These are billed directly for eligible patients, the same as any plan above. Bring your status or N number and the desk takes it from there.
How NIHB works hereBring the plan details to your first visit, or call 647-343-1171 and the desk will check them before you choose a time.
Plain terms
None of this says what your plan pays.
Everything above is about how the paperwork is handled at this desk. What your plan actually pays depends on your plan, and the desk works that out with your own numbers.
- We do not publish a coverage percentage
- Plans differ by employer, by category of treatment, and from one year to the next. A figure that is true for one patient misleads the next one, so none is published. The desk works out the estimate for your own treatment on your own plan, and it does that before you are asked to agree to anything.
- Direct billing and coverage are different things
- Billing your plan directly is a way of handling the paperwork. It does not decide what your plan pays, and it does not make a treatment covered.
- Most plans have limits of their own
- Annual maximums, waiting periods, frequency limits and exclusions are all common, and cosmetic treatment is rarely covered by any plan. Those terms are set by your plan, and the desk goes through them with you.
Coverage that is not an employer plan
At the desk
Questions about billing and coverage
Do you bill my insurance directly?
Yes. Bring the plan details to your first visit and the desk submits the claim from here; you do not file anything yourself.
Which insurers do you bill?
The list is the front desk’s own. It holds every company and administrator billed here often enough for the desk to name it. That includes Canada Life, Manulife, Desjardins, RBC Insurance, Alberta and Pacific Blue Cross, OTIP, Equitable Life, Empire Life, Claim Secure and Chambers of Commerce Benefits. If yours is not on it, call the desk before you assume it cannot be billed here.
Will I know what I owe before treatment?
Yes, and the estimate covers the treatment being proposed for you rather than a general price list. If your plan will not cover part of it, that part is named.
What if my plan does not cover all of it?
You pay the difference, and you hear that number before you agree to anything.
How much does my plan cover?
Your plan decides that, and the clinic does not set its terms. Plans differ by employer, by treatment category and by year, so no percentage is published anywhere here. Bring the plan details to the desk and the estimate is worked out on your own numbers.
I have status — is that handled differently?
It is a different kind of coverage, and it is no harder to handle. NIHB and Big Stone Benefits are billed directly for eligible patients; bring your status or N number. The NIHB page explains what the clinic handles and what it needs from you.
Do I need to pay first and claim it back?
No. The clinic bills applicable insurance directly and confirms what the plan pays before treatment.
Can I be seen without any insurance?
Yes. With a plan or without one, you hear what the treatment costs before it starts, and nothing begins until you have agreed to the number.
Book a visit
Bring the plan. The desk does the rest.
Book online or call, and the coverage is checked before you are in the chair.