Centre # 06007
Lakeshore Dental Office
611 Lakeshore Road East
(Lakeshore & Cawthra)
Mississauga, ON L5G 1H9
Ph. # (905) 278-2913
Centre # 06010
Dr. B Levine
City South Dental Office
7700 Hurontario Street, Street Level
(Highway 10 & Steeles)
Brampton, ON L6Y 4M3
Ph. # (905) 459-1742
Centre # 06048
Dr. J. Fingrut
2780 Jane Street, #102
(Jane & Eddystone)
Toronto, ON M3N 2J2
Ph. # (416) 748-3353
Centre # 06049
Dr. Anto Tedjo
King Forrest Dental Office
1960 Dundas Street West, #4
(Between Mississauga Rd. & Erin Mills Pkwy)
Mississauga, ON L5K 2R9
Ph # (905) 855-0076
Centre # 06050
Dr. Min Park
Mississauga Hanin Dental Clinic
333 Dundas Street East, #201
(Between Cawthra & Hurontario)
Mississauga, ON L5A 1X1
Ph. # (905) 281- 2875
Centre # 06051
Dr. M. Gopalkrishnan & Dr. Gupta
Warden Dental Clinic
2190 Warden Avenue #205
(Warden & Sheppard)
Scarborough, ON M1T 1V6
Ph. # (416) 491- 9993
Centre # 06068
Dentistry on Steeles
7007 Islington Avenue
(Steeles & Islington)
Woodbridge, ON L4L 4T6
Ph. # (905) 856-7999
Centre # 06054
Dr. V Radevski
Danforth Dental Centre
658 Danforth Avenue #206
(Danforth & Pape)
Toronto, ON M4J 5B9
Ph. # (416) 466-7777
Centre #06070
Dr. I. Kacur
2436A Bloor Street West
(Bloor & Jane)
Toronto, ON M6S 1P9
Ph. # (416) 604-4009
Centre # 06056
Dr. Marika Dekanoidze
Summerhill Gardens Dental
1246 Yonge Street, #201
(Yonge & Summerhill)
Toronto, ON M4T 1W5
Ph. # (416) 483-9600
Centre # 06063
Dr. A Ouanounou
1017 Wilson Ave., #203
(Wilson & Keele)
Toronto, ON M3K 1Z1
Ph. # (416) 633-5721
Centre # 06074
Dr. Yong Lu
Dundas & University Dental
250 Dundas Street West, # 105
Toronto, ON M5T 2Z5
Ph. # (416) 916-8811
Centre # 06071
Dr. Gopalkrishnan
385 Silverstar Blvd, Suite 309
Scarborough, ON M1V 0E3
(Midland/Steeles)
Ph # (416) 491 4533
Your Smile is our Business
Managed Dental Care
Program Summary
for
The Canadian Union Benefit Trust
Group 4 Securicor Full time
Centre # 06052
Dr. B. Petrovic
3101 Bloor Street West, # 407
Toronto, ON M8X 2W2
Ph. # (416 767-7779)
Rev. 08/2008 E & OE
Plan 100
Group 4 Securicor Part time Plan 200
Who is covered by this Plan?
If you are an eligible member this Plan
covers:



You
Your Spouse
Your dependent unmarried children
who are under 21 years of age and
living in your household. (in the case
of a dependent child who is a fulltime student, coverage ends once he
or she reaches the age of 25.)
E & OE
Rev. 06/2013
Benefits under the Managed Dental Care Program
with W A Health Maintenance begin on the first
day of the month following your eligibility,
selection of Dental Office and enrolment in the
program.
All members with the following preface on their
Postal Codes wishing to receive Dental Benefits
must attend one of the Network Dental Offices
listed in this booklet:
M5A M5B M5C M5E M5G M5H M5J M5K
M5L M5M M5N M5P M5R M5S M5T M5V
M5X
Note:
If your spouse also has a dental plan, coordination of benefits are available only for treatment
rendered at our Network Dental Offices.
M6A M6B M6C M6E M6G M6J M6K M6L
M6M M6N M6P M6R M6S
This is a summary of your dental coverage. All benefits
are subject to the terms of your dental benefits
agreement.
M8V M8W M8X M8Y M8Z
M9A M9B M9C M9L M9M M9N M9P M9R
M9V M9W
L0A L0B L0C L0E L0G L0H L0J L0N L0P
L0R
L1G L1H L1J L1K L1L L1M L1N L1P L1R
L1S L1T L1V L1W L1X L1Y L1Z


$750 per person per benefit
year (part-time)
L3M L3P L3R L3S L3T L3X L3Y
L4A L4B L4C L4E L4G L4H L4K L4L L4P
L4R L4S L4T L4V L4W L4X L4Y L4Z


L5A L5B L5C L5E L5G L5H L5J L5K L5L
L5M L5N L5P L5R L5S L5T L5V L5W
L6A L6B L6C L6E L6G L6L L6M L6R L6S
L6T L6V L6W L6X L6Y L6Z
L7B L7E L7G L7J
L8M L8N L8P L8R L8S L8V L8W
L9A L9B L9C L9G L9H L9J L9K L9P L9T
M1B M1C M1E M1G M1H M1J M1K M1L
M1M M1N M1P M1R M1S M1T M1V M1W
M1X
M2H M2J M2K M2L M2M M2N M2P M2R
M3A M3B M3C M3H M3J M3K M3L M3M
M3N
M4A M4B M4C M4E M4G M4H M4J M4K
M4L M4M M4N M4P M4R M4S M4T M4V
M4W M4X M4Y
Benefit Schedule
No Deductible
Maximum Benefit: $3,000 per person
per benefit year (full-time)
4.
Are
evening
or
week-end
appointments available? Most of the
Network Dental Offices have evening
appointments and many have
weekend
appointments.
It
is
important to remember that it takes
much longer to get an appointment if
you require a specific time as there
are many other members wanting the
same times.
5.
If my over age student dependent is
out of the area attending school, how
does he/she get coverage?
You
should attempt to make an
appointment when they return home
for a visit or holidays.
6.
If my spouse has other dental
coverage can we coordinate between
both plans? For this to work, all
dentistry must be performed at a
Network Dental Office.
If you have any questions regarding your Managed
Dental Care Program,
Please contact:
W A Health Maintenance
90 Burnhamthorpe Road West, Suite 410
Mississauga, ON L5B 3C3
Phone #:
Fax #:
Email:
(905) 281-9948
(905) 281-2912
Questions and Answers
Benefit year:
January 1 to December 31
Covered @ 80% if performed by Network Dentist
@ 50% if performed by Specialist

Diagnostic (exams, x-rays)

Preventive **

Minor restorative (fillings)
Endodontics (root canal treatment)
(molar endodontics not covered)

Periodontal ** (gum treatment)

Oral Surgery (extractions)
Answers to these most commonly asked questions
may help you to better understand the W A Health
Maintenance Managed Dental Care Network.
1.
** Note that benefit maximum coverage for all
scaling and/or planning is 12 units per person per
benefit year.

following month. This can be done
once a year.
2.
Can I attend any Dental Office in the
Network? Yes. When you become
eligible for coverage, you must
complete an enrolment card and
chose the dental office you wish to
attend.
3.
Can I switch my dental office if I
move or don’t like the dentist? Yes.
Simply notify W A Health
Maintenance and you will be
switched to another office of your
choice effective the first of the
Covered @ 50% (treatment must be performed
in Network Dental Office)
 Denture repairs, reline, rebase only
Emergency coverage: up to $100 (to relieve pain) at any
dental office when you are traveling outside of the
Greater Toronto Area.
Coverage in accordance with the ODA General
Practitioner and Specialist Fee Guides based on the
current year.
Do I and my family have to attend a
Network office?
If you are eligible for dental coverage
and live within the listed postal codes
(the Greater Toronto Area) you and
your family must attend one of the
Network Dental Offices.
Dental Network Office Locations
(Subject to change)
Your must choose a dental centre by completing an
enrolment card and mailing it to W A Health
Maintenance before you call the dental centre for
an appointment. If you require an enrolment card,
please call: W A Health Maintenance at 90
Burnhamthorpe
Road
West,
Suite
410,
Mississauga, ON
L5B 3C3 Phone # (905) 2819948