 |
| $95.25 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
| General Dental |
Major Dental |
Endodontic |
Orthodontic |
Optical |
Physiotherapy |
Chiropractic |
| $550 |
$2220* |
$2220* |
$440 |
$220 |
$600 |
$500 |
|
| |
| $56.60 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
| General Dental |
Major Dental |
Endodontic |
Orthodontic |
Optical |
Physiotherapy |
Chiropractic |
| No Limit |
$2000* |
$400 |
$2000* |
$250 |
$700 |
$400* |
|
| |
| $75.15 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
| General Dental |
Major Dental |
Endodontic |
Orthodontic |
Optical |
Physiotherapy |
Chiropractic |
| No Limit |
$2000* |
$400 |
$2000* |
$250 |
$700 |
$400* |
|
| |
 |
| $58.20 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
| General Dental |
Major Dental |
Endodontic |
Orthodontic |
Optical |
Physiotherapy |
Chiropractic |
| $500/$1250 |
$750/$1750 |
$600/$1500 |
$600/$1800 |
$180/$450 |
$750/$1875* |
$750/$1875* |
|
| |
| $52.50 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
| General Dental |
Major Dental |
Endodontic |
Orthodontic |
Optical |
Physiotherapy |
Chiropractic |
| $500/$1000 |
$750/$1500 |
$600/$1200 |
$500/$1400 |
$180/$360 |
$900/$1500* |
$900/$1500* |
|
| |
| $95.25 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
| General Dental |
Major Dental |
Endodontic |
Orthodontic |
Optical |
Physiotherapy |
Chiropractic |
| $600/$600 |
$1100/$2750 |
$1000/$2500 |
$800/$2400 |
$250/$250 |
$900/$2250* |
$900/$2250* |
|
| |
 |
| $50.40 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
| General Dental |
Major Dental |
Endodontic |
Orthodontic |
Optical |
Physiotherapy |
Chiropractic |
| $300 |
$800* |
$800* |
$800* |
$225 |
$750* |
$750* |
|
| |
| $84.25 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
| General Dental |
Major Dental |
Endodontic |
Orthodontic |
Optical |
Physiotherapy |
Chiropractic |
| No Limit |
$1100 |
No Limit |
$800 |
$240 |
$800 |
$600/$1200 |
|
| |
| $104.90 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
| General Dental |
Major Dental |
Endodontic |
Orthodontic |
Optical |
Physiotherapy |
Chiropractic |
| No Limit |
$1200 |
No Limit |
$900 |
$280 |
$900 |
$700/$1400 |
|
| |
 |
| $38.90 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
| General Dental |
Major Dental |
Endodontic |
Orthodontic |
Optical |
Physiotherapy |
Chiropractic |
| $300 |
$300* |
$300* |
$0 |
$185 |
$350* |
$350* |
|
| |
| $85.45 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
| General Dental |
Major Dental |
Endodontic |
Orthodontic |
Optical |
Physiotherapy |
Chiropractic |
| $300 |
$1000* |
$1000* |
$1000* |
$225 |
$750* |
$750* |
|
| |
| $25.20 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
| General Dental |
Major Dental |
Endodontic |
Orthodontic |
Optical |
Physiotherapy |
Chiropractic |
| $350/$700* |
$350/$700* |
$0 |
$0 |
$150/$300 |
$350/$700* |
$350/$700* |
|
| |
| $63.25 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
| General Dental |
Major Dental |
Endodontic |
Orthodontic |
Optical |
Physiotherapy |
Chiropractic |
| No Limit |
$1000 |
No Limit |
$700 |
$200 |
$700 |
$500/$1000 |
|
| |
| $42.00 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
| General Dental |
Major Dental |
Endodontic |
Orthodontic |
Optical |
Physiotherapy |
Chiropractic |
| $700* |
$450 |
$700* |
$450 |
$180 |
$450 |
$350/$500 |
|
| |
| $53.55 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
| General Dental |
Major Dental |
Endodontic |
Orthodontic |
Optical |
Physiotherapy |
Chiropractic |
| $800* |
$300/$600* |
$800* |
$300/$600* |
$225 |
$300 |
$300/$600* |
|
| |
| $98.77 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
| General Dental |
Major Dental |
Endodontic |
Orthodontic |
Optical |
Physiotherapy |
Chiropractic |
| $1000/$4000* |
$1000/$4000* |
$1000/$4000* |
$300 |
$200/$800 |
$500/$2000* |
$500/$2000* |
|
| |
 |
| $46.40 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
| General Dental |
Major Dental |
Endodontic |
Orthodontic |
Optical |
Physiotherapy |
Chiropractic |
| $500/$1000 |
$0 |
$0 |
$0 |
$150/$300 |
$400/$800* |
$400/$800* |
|
| |
| $33.45 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
| General Dental |
Major Dental |
Endodontic |
Orthodontic |
Optical |
Physiotherapy |
Chiropractic |
| $500* |
$500* |
$500* |
$0 |
$150 |
$350/$500* |
$350/$500* |
|
| |
| $31.05 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
| General Dental |
Major Dental |
Endodontic |
Orthodontic |
Optical |
Physiotherapy |
Chiropractic |
| $500* |
$0 |
$500* |
$0 |
$200 |
$300 |
$0 |
|
| |