Page 11 - 2020 Stein Mart Benefits Guide - Weekly
P. 11
DENTAL INSURANCE
We partner with Delta Dental to offer you and your family members dental
insurance. There are two plans to choose from. Examples of
Services
In-Network Providers Preventive:
Remember to visit in-network dentists to receive the deepest level of discount exams, cleanings,
fluoride, x-rays and
and get the most care out of your calendar year maximum. sealants
Basic: fillings,
Managing your Dental Coverage extractions,
Go to www.deltadentalins.com or call 800.521.2651. periodontics,
Create an account online to access a variety of online tools and programs repairs and oral
including searching for a participating in-network dentist in your area. surgery
Major: crowns,
inlays, dentures
Plan Highlights and dental impacts
Below is a high level summary of your in-network benefit coverage. Orthodontia
Lifetime Maximum
Base Plan Buy-Up Plan For orthodontia services,
Calendar Year Deductible the lifetime maximum is
the most the plan will
Associate $50 $25 cover for orthodontia
Family $100 $50 services for the lifetime of
Calendar Year Max your participation in this
$1,000 $2,000 program. The limit does
Services not reset each year.
Preventive Covered at 100% Covered at 100%
Basic 20% after deductible 20% after deductible
Major 50% after deductible 50% after deductible
Orthodontia
Coinsurance 50% 50%
Lifetime Maximum $1,000 $2,000
Benefit Applies to Dependent children Dependent children
up to age 19 up to age 19
Associate Weekly Rates
Base Plan Buy Up
Associate Only $3.21 $4.70
Associate + Dependents $7.70 $11.84
Weekly Store and Weekly Corporate Associates 10
Department Merchandise Managers For 2020 Benefits
We partner with Delta Dental to offer you and your family members dental
insurance. There are two plans to choose from. Examples of
Services
In-Network Providers Preventive:
Remember to visit in-network dentists to receive the deepest level of discount exams, cleanings,
fluoride, x-rays and
and get the most care out of your calendar year maximum. sealants
Basic: fillings,
Managing your Dental Coverage extractions,
Go to www.deltadentalins.com or call 800.521.2651. periodontics,
Create an account online to access a variety of online tools and programs repairs and oral
including searching for a participating in-network dentist in your area. surgery
Major: crowns,
inlays, dentures
Plan Highlights and dental impacts
Below is a high level summary of your in-network benefit coverage. Orthodontia
Lifetime Maximum
Base Plan Buy-Up Plan For orthodontia services,
Calendar Year Deductible the lifetime maximum is
the most the plan will
Associate $50 $25 cover for orthodontia
Family $100 $50 services for the lifetime of
Calendar Year Max your participation in this
$1,000 $2,000 program. The limit does
Services not reset each year.
Preventive Covered at 100% Covered at 100%
Basic 20% after deductible 20% after deductible
Major 50% after deductible 50% after deductible
Orthodontia
Coinsurance 50% 50%
Lifetime Maximum $1,000 $2,000
Benefit Applies to Dependent children Dependent children
up to age 19 up to age 19
Associate Weekly Rates
Base Plan Buy Up
Associate Only $3.21 $4.70
Associate + Dependents $7.70 $11.84
Weekly Store and Weekly Corporate Associates 10
Department Merchandise Managers For 2020 Benefits
