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| Dental Benefits
Dental coverage is an important part of your overall benefits package . The Plan pays a significant portion of the cost for most dental services for you and your eligible dependents. The Plan pays benefits for
services that are furnished or recommended by a licensed dentist, up to reasonable and customary charge.
Dental Benefits
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Calendar Year Maximum |
$1,000 per person |
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Lifetime Orthodontia Maximum |
$2,000 per person |
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Calendar Year Deductible |
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Routine Services |
$25 per person |
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All Other Covered Services |
None |
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Co-payment Percentages |
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|
Routine Services |
Plan pays 100%; after deductible |
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All Orthodontia And Other Services |
Plan pays 50% |
This is a plan description. Not a guarantee of benefits.
Benefits depend on eligibility, date of service and Fund Plan limitations.
In the event of a conflict between the Summary Plan Description,
this web site and the Plan's legal documents, the legal documents will govern.
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