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DENTAL

DENTAL

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Regular dental exams can help you and your dentist detect problems in the early stages when treatment is simpler and costs are lower. Keeping your teeth and gums clean and healthy will help prevent most tooth decay and periodontal disease, and is an important part of maintaining your medical health.

  In-Network Out-of-Network
Annual Deductible (Individual/Family) $50/$150
Annual Maximum (per person) $2,000
Preventive Care 100% 100%
Basic Services 80% 80%
Major Services 50% 50%
Implants  50% 50%
Orthodontia: Child Only (Up to Age 19) 50%, $1,000 Lifetime Maximum 50%, $1,000 Lifetime Maximum
Rates Associate Associate + Spouse Associate + Child(ren) Family
Bi-Weekly $6.00 $14.00 $16.00 $18.00

* Annual Deductible applies to Basic and Major services only; 
** If you use an out of network provider you must pay any difference between the dentist’s fee & the plan payment; in network providers (PDP) accept the plan payment as payment in-full subject to any cost sharing.