Page 12 - 2017 FutureSteps
P. 12
2017 Future Steps
Dental
There are no changes to the dental plan in 2017 Future Steps . Dental care is
an important part of your overall well-being, which is why W&T Offshore will
continue to offer dental coverage as part of your total beneits package under
BlueCross BlueShield of Texas. Below is information regarding the dental
plan.
In-Network Out-of-Network 1
Deductible 2
Individual $100
Family $300
Calendar Year Maximum
$3,000
Coinsurance
Preventive services 100% no deductible
Basic services 80% after deductible
Major services 80% after deductible
Orthodontia
Predetermination amount $300
Coinsurance 80% after deductible
Lifetime maximum $3,000
Beneit applies to Adults and children
1 Out-of-network services may be subject to higher rates and balance billing
2 Deductible does not apply to preventive services
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Dental
There are no changes to the dental plan in 2017 Future Steps . Dental care is
an important part of your overall well-being, which is why W&T Offshore will
continue to offer dental coverage as part of your total beneits package under
BlueCross BlueShield of Texas. Below is information regarding the dental
plan.
In-Network Out-of-Network 1
Deductible 2
Individual $100
Family $300
Calendar Year Maximum
$3,000
Coinsurance
Preventive services 100% no deductible
Basic services 80% after deductible
Major services 80% after deductible
Orthodontia
Predetermination amount $300
Coinsurance 80% after deductible
Lifetime maximum $3,000
Beneit applies to Adults and children
1 Out-of-network services may be subject to higher rates and balance billing
2 Deductible does not apply to preventive services
12

