The AHCP Comprehensive Dental plan provides your family with increased protection. At network dental providers, Diagnostic & Preventive dental work, including exams and cleanings are covered at 100%; Basic procedures, including fillings, are covered at 80%; and Major procedures such as crowns, are covered at 50%. On the AHCP Comprehensive Dental Plan, your deductible is waived for all covered Diagnostic & Preventive dental work.
The AHCP Comprehensive Dental Plan provides the following benefits to you and your family:
- Immediate coverage from your effective date
- 100% coverage on Diagnostic & Preventive procedures*
- 80% coverage on Basic procedures*
- 50% on Major procedures*
- No waiting periods on Diagnostic, Preventive, & Basic procedures
- No waiting periods on Major procedures, with proof of current dental insurance
- Low annual deductible of $50 for an individual with a maximum of $150 for a family
- High annual benefit maximum of $1,500 per covered person
The AHCP Comprehensive Dental plan has a 12 month waiting period for Major Services. However, you may obtain a credit to waive this waiting period if you submit valid proof of current fully insured coverage. Proof of prior coverage must be received by AHCP Dental within 30 days of your effective date.
*Out of network benefits are calculated based on the Maximum Allowable Charges as set by the plan.
Benefits are calculated using a Maximum Allowable Charge. Maximum Allowable Charges are limitations on
billed charges and are based on fees paid to Network Providers in the geographic area where the expenses are incurred.
For Out of Network Providers, members are responsible for amounts charged by the provider that exceed benefits, and may be required to remit payment at the time of service.
Overview of Benefits |
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|---|---|---|---|---|
Program Features |
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| Dental Plan Description | ||||
Annual Calendar Year Maximum |
$1,500 |
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Calendar Year Deductible |
$50 |
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Does Deductible apply to Diagnostic & Preventive? |
No |
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Waiting Periods on Major Type Procedures |
No (with proof of current coverage) |
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Yes |
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| Dental Insurance Benefits | ||||
| Diagnostic & Preventative* | ||||
100% |
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100% |
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100% |
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100% |
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100% |
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| Basic* | ||||
80% |
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80% |
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80% |
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| Major* | ||||
50% |
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50% |
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50% |
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50% |
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50% |
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| Association Membership Benefits | ||||
* |
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* |
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* |
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* |
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* |
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* |
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* |
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* |
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One Time Enrollment Fee |
$10.00 |
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Recurring Monthly Price |
Individual $45.00 |
Family $97.50 |
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