Dental Plan
Annual Deductible$50 per person
Annual Maximum Benefit$2,000 per person
Preventive ServicesPlan pays 100% of eligible costs for oral examinations, X-rays and cleanings
Basic Restorative ServicesPlan pays 80% of eligible costs after deductible for fillings, extractions and endodontics
Major Restorative ServicesPlan pays 50% of eligible costs after deductible for dentures, bridges and crowns
Orthodontia ServicesPlan pays 50% of eligible services after deductible, up to $2,000 per lifetime (available only for dependent children under the age of 19)