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2024 Dental Fee Guide Increases

Good benefit plans draw in and keep high-quality employees. Providing dental coverage for employees and their families is crucial to staying competitive. However, the expenses associated with this coverage continue to trend upward for employers.


The dental fee guide provides recommended fees for various dental procedures and services. Insurers use it as a benchmark for determining acceptable reimbursement levels for dental care. Each province has a dental association that sets their fee guide for the year. In recent years, these costs have grown, leading to higher claims and increases in premium or funding levels at renewal.


Although costs have risen across the board, the fee increases for 2024 are more reasonable than those of 2023 and not as high.


Below are the fee guide increases announced for 2024 by the dental associations:


Province/Territory % Cost Increase - Dentist % Cost Increase - Denturist 2024 Start Date
Alberta 3.62% 3% January 1
British Columbia 4.73% 3% Dentist: February 1, Denturist: January 1
Manitoba 4.90% 3% January 1
Saskatchewan 3.97% 2% January 1
Ontario 4.80% 4% Dentist: January 1, Denturist: February 1
Quebec 5.70% 4% January 1
Nova Scotia 4.73% 5% Dentist: February 1, Denturist: January 1
New Brunswick 4.60% 2% Dentist: February 1, Denturist: January 1
Prince Edward Island 4.65% 4% January 1
Newfoundland & Labrador 4.00% 4% January 1
Yukon No Update 4% Dentist: April 1, Denturist: January 1
Northwest Territories 4.70% 4% January 1
Nunavut 4.70% 4% January 1

Sunlife (2024)

https://www.sunlife.ca/workplace/en/group-benefits/workplace-health-resources/sponsor-latest-news/over-50-employees/dental-fee-increases-for-2024/


As prices continue to rise, it’s essential for businesses to use a cost-effective solution for their benefits package. One option is to self-insure the dental portion of your plan (called ASO or Administrative Services Only). There is no catastrophic risk associated with dental, as plan limits, such as $1,500/year per member, are set in the plan design. ASO essentially works as a pay-as-you-go system. Rather than setting a Single/Family premium rate for the year, you only pay claims, adjudication fees and taxes. Compared to an experience rated dental benefit, built-in fees can be lower on an ASO platform.


Another cost-effective solution, without self-insuring the dental benefit, is to use HMA’s 3G profit-sharing plan. This plan uses the same renewal calculations as any experience rated health and dental plan, but gives back the profit an insurance company would normally receive when claims come in lower than the expected Target Loss Ratio (TLR). For example, if your TLR is 75% and you pay $10,000 as a dental premium for the year, you are expected to claim $7,500. If claims come in below the $7,500 you can receive the difference back through the plan’s profit sharing and loyalty dividends.


Employers can minimize the effects of the dental fee guide increases on both their employees and their own bottom line by taking proactive measures. If you have questions, we’re here to help. Contact your HMA advisor today for a full review of your benefits plan.

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