Dental Programs
Overview of Benefits |
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|---|---|---|---|---|
Program Features |
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| Dental Plan Description | ||||
Annual Calendar Year Maximum |
$1,000 |
$1,500 |
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Calendar Year Deductible |
$25 Per Individual |
$50 |
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Does Deductible apply to Diagnostic & Preventive? |
Yes |
No |
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Waiting Periods on Major Type Procedures |
Yes |
No (with proof of current coverage) |
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Yes |
Yes |
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| Dental Insurance Benefits | ||||
| Diagnostic & Preventative* | ||||
80% |
100% |
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80% |
100% |
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80% |
100% |
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80% |
100% |
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80% |
100% |
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| Basic* | ||||
40% |
80% |
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40% |
80% |
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40% |
80% |
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| Major* | ||||
20% |
50% |
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20% |
50% |
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20% |
50% |
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20% |
50% |
|||
20% |
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 |
$10.00 |
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Recurring Monthly Price |
Individual $25.00 |
Family $47.50 |
Individual $45.00 |
Family $97.50 |
Note: The Online Health Survey is no longer available.
*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.
**All benefits are subject to applicable limitations and exclusions.
