Health and Dental Insurance
The costs of health and dental care can be expensive. OMA Insurance has created a health and dental program to meet the needs of our members. Read more about the features and benefits to choose a plan that works for you.
OMA Health and Dental Insurance coverage includes1:
Health and Health Plus
Coverage for you and your family for health-related services not covered by provincial health insurance — including eligible drugs, hospitalization, paramedical services and more. Enjoy the added convenience of a pay-direct drug card as well as emergency out-of-province/country coverages2.
Health Plus provides higher limits (meaning lower out-of-pocket expenses) and additional benefits such as vision care.Learn more about Health and Health Plus
Dental and Dental Plus
This coverage provides basic and preventative treatment, including recall examinations, bitewing X-rays, scaling and polishing and fluoride treatments. Also covered are denture repair, relining and rebasing, endodontic and periodontal services.
Dental Plus provides even more coverage, such as children’s orthodontics and major dental services, major restorations and prosthodontics.Read about Dental and Dental Plus
Frequently asked questions
To be eligible for insurance under the group policy, a physician must be:
A member in good standing of the Ontario Medical Association, the New Brunswick Medical Society, the Medical Society of Prince Edward Island or the Newfoundland and Labrador Medical Association, who is under the age of 79 on the date of becoming insured under the group policy
Residing in Canada. Residents of Quebec are eligible only if the application form is signed in a province or territory other than Quebec and they agree that the benefits booklet and all other communications will be delivered in a province or territory other than Quebec
Coverage for a spouse or eligible dependent child(ren) is available if the member is also insured.
Permanent, full-time office employees of a member who work a minimum of 20 hours per week, who are under the age of 70 on the date of becoming insured under this policy, are also eligible.
Coverage for a spouse or dependent child(ren) is available; however, the employee must also be insured.
Coverage information at your fingertips with Sun Life mobile app or online at mysunlife.ca:
Find out what your health plans cover
Easily check the status of your claims
Get quick support by calling us from within the app
Access your coverage cards on the app or save them to Apple Wallet
Find out how much of your prescription drugs costs are covered with the drug-look-up tool
OMA works with our insurance partner to streamline the underwriting process as much as possible, reducing the complexity and time required to arrange coverage. Here are the steps:
- Application: Call us at 1-800-268-7215 or email firstname.lastname@example.org to obtain an application.
- Provider receives application: The provider will receive and review your application and may contact you to discuss any details.
- Medical history: If additional medical information and/or an attending physician’s statement (APS) is needed, you will be notified. You can help accelerate the APS process by ensuring your physician responds quickly.
- Final decision: It usually takes four to six weeks for the provider to process all the information and arrive at the underwriting decision.
Need advice? Our expert insurance advisors are here to help.
OMA Priority Insurance Program
Bundled solutions featuring Health Insurance, Critical Illness Insurance, Security Evacuation coverage, Legal Expense Insurance and more — all in one highly affordable package.Learn more about OPIP
Atlantic Benefits Program
A bundled plan for Atlantic members that consists of Health and Group Critical Illness Insurance or Health Plus and Group Critical Illness Insurance.See the Atlantic Benefits Program
1Additional expenses may be covered. Some restrictions apply.
2Emergency out-of-province (out-of-Canada) medical expenses are covered at 100 per cent up to a $2,000,000 limit per sickness or injury during the first 90 days of travel (30 days for someone age 70 or older), with no restrictions for pre-existing conditions. The usual medical evacuation, trip delay, hotel convalescence, return of automobile and other travel insurance benefits are included.
OMA Health and Dental is underwritten by Sun Life Assurance Company of Canada. Sun Life Assurance Company of Canada is the insurer of this product and is a member of the Sun Life group of companies. For inquiries, please call Sun Life’s Client Care Centre at 1-800-758-1641, Monday to Friday, 8 a.m. to 8 p.m. ET. or visit www.sunlife.ca.
For complete details regarding coverage, please see the terms and conditions of Policy 17884. If there is any conflict between this document and the wording of the policies (or the certificate), the wording of the policies will govern. A copy of the policy may be requested.
Premium rates and discounts are not guaranteed and are subject to change upon notice.
Exclusions and limitations may apply.