There are different eligibility requirements for children who need emergency and/or essential care. Eligibility requirements can be found in the Schedule of Dental Services and Fees Guide.
Oral health
Refer your patients
Infection prevention and control resources
Emergency and Essential Services Stream
Under the Emergency and Essential Services Stream of Healthy Smiles Ontario, eligible children and youth will receive dental coverage for emergency and / or essential services for six months from their date of enrolment.
How to enrol or refer a client
Dental providers can assess clients and help them enrol in the Emergency and Essential Services Stream or refer clients in non-emergency situations by calling the Niagara Region Public Health Dental Health Line at 905-688-8248 or 1-888-505-6074 ext. 7399.
Reapplying and enrolment limits
At the end of the six months, eligible clients may reapply for the Emergency and Essential Services Stream or are encouraged to apply to the Healthy Smiles Ontario Core Stream if they are eligible. Each child / youth can enrol in the Emergency and Essential Services Stream a maximum of three times in their lifetime.
Claims
Claims under Healthy Smiles Ontario may be mailed or sent via secure fax to:
AccertaClaim Servicorp Inc.
Healthy Smiles Ontario Contact Centre
Station P, P.O. Box 2286
Toronto, ON
M5S 3J8
Secure fax
416-354-2354 or toll-free at 1-877-258-3392
Accerta Carrier Code
311140
For more information on claims, pre-authorizations and payment:
- Contact Accerta toll-free at 416-363-3377 / 1-877-258-2658
- Visit the secure web portal AccertaWorX
- Visit Healthy Smiles Ontario