Page 11 - MI New Hire webinar

DENTAL COVERAGE
AGENTS AND STAFF // GUARANTEE ISSUE FOR NEWLY HIRED STAFF AND AT OPEN ENROLLMENT
COVERAGE OPTIONS
EMPLOYEE
EMPLOYEE + SPOUSE
EMPLOYEE
+ CHILDREN FAMILY
CALENDAR YEAR DEDUCTIBLE
ANNUAL MAXIMUM BENEFIT
PREVENTIVE
AND DIAGNOSTIC SERVICES
BASIC SERVICES
MAJOR SERVICES (12 MONTH WAITING PERIOD)
A BRIGHT SMILE TAKES MORE THAN JUST BRUSHING AND FLOSSING.
Our dental plan not only pays for preventive care but also helps pay for extensive, costly and unexpected expenses as well. Oral health has been linked to conditions such as diabetes, heart disease and stroke making it more important than ever to visit your dentist regularly.
BASE PLAN [PPO]
$750 A PERSON PER CALENDAR YEAR
100% - NO DEDUCTIBLE
ORAL EVALUATION-2 PER YEAR RADIOGRAPHS-BITEWING 1 SET PER YEAR RADIOGRAPHS-PANORAMIC 1 SET PER YEAR LAB & OTHER DIAGNOSTICS
SEALANTS (UNDER AGE 16) PROPHYLAXIS (CLEANINGS)-2 PER YEAR FLUORIDE TREATMENT (UNDER AGE 19)
ENHANCED PLAN [NAP]
$50 INDIVIDUAL / $150 FAMILY
WAIVED ON PREVENTIVE AND DIAGNOSTIC SER- VICES APPLIED TO BASIC AND MAJOR SERVICES
$50 INDIVIDUAL / $150 FAMILY
WAIVED ON PREVENTIVE AND DIAGNOSTIC SER- VICES APPLIED TO BASIC AND MAJOR SERVICES
$1,000 A PERSON PER CALENDER YEAR
100% - NO DEDUCTIBLE
ORAL EVALUATION-2 PER YEAR RADIOGRAPHS-BITEWING 1 SET PER YEAR RADIOGRAPHS-PANORAMIC 1 SET PER YEAR LAB & OTHER DIAGNOSTICS
SEALANTS (UNDER AGE 16) PROPHYLAXIS (CLEANINGS)-2 PER YEAR FLUORIDE TREATMENT (UNDER AGE 19)
50% - AFTER DEDUCTIBLE
SPACE MAINTAINERS (UNDER AGE 16) SIMPLE EXTRACTIONS
RESTORATIONS [AMALGAMS OR COMPOSITE] EMERGENCY TREATMENT/GENERAL SERVICES
80% - AFTER DEDUCTIBLE
SPACE MAINTAINERS (UNDER AGE 16) SIMPLE EXTRACTIONS
RESTORATIONS [AMALGAMS OR COMPOSITE] EMERGENCY TREATMENT/GENERAL SERVICES
NETWORK DISCOUNTS APPLY
50% - AFTER DEDUCTIBLE
```VPERIODONTICS - LIMITS - SEE POLICY FOR DETAILS ENDODONTICS
INLAYS/ONLAYS/CROWNS
DENTURES & OTHER REMOVABLE PROSTHETICS FIXED AND PARTIAL DENTURES [BRIDGES]
PLAN INCLUDES ACCESS TO OVER 108,000 DENTISTS THAT HAVE NEGOTIATED DISCOUNTED RATES FOR SERVICES. YOU COULD SAVE OVER $800 ON DENTAL WORK ASSOCIATED WITH A ROOT CANAL AND CROWN IF YOU USE IN-NETWORK PROVIDERS.