Page 42 - Complete Hi-Res 7-product Kit

Waiting periods
• [This plan includes benefit waiting periods, during which you are not eligible for certain plan [benefits:]
— [3 months] for basic services
— [6 months] for major services]
— [24 months] for orthodontic services]
• [If you had dental coverage through [Sample’s] previous group plan for 12 months or more and
enroll in this plan when it is first offered, your benefit waiting period for this plan will be reduced
accordingly.]
— [For example, if you were enrolled in [Sample’s] previous group dental plan for the past 12
months, the benefit waiting period will not apply for basic or major services.]
— [See the plan policy for complete details.]
• [This plan includes an additional waiting period if you do not enroll when it is first offered to you
(known as a late entrant waiting period):]
— [3 months] for basic services
— [6 months] for major services]
— [24 months] for orthodontic services]

[Orthodontics]
• [Coverage for orthodontics treatment is available for dependent children and adults.]

Additional Plan Benefits and Services

Lincoln DentalConnect® Online Health Center Included

[MaxRewards®] [Included]
[SmileRewards ] [Included]
SM
Lincoln DentalConnect® Online Health Center
• This easy-to-access online resource lets you:
— Determine the average cost of a dental procedure
— Have your questions answered by a licensed dentist
— Find a dentist based on your home or workplace location (or even your primary language)
— Get directions to your dentist’s office
— Catch up with the latest dental news, trends, and developments
— Discover the important connection between dental health and your overall health
— Learn all about dental health for children, from baby’s first tooth to dental emergencies
— Take an in-depth look at dental health recommendations for seniors
— Evaluate your risk for oral cancer, periodontal disease, and tooth decay
— Check your claim status
— Print an ID card
— Access an in-depth database on a full array of dental health topics
— Switch between English and Spanish versions in just one click

[Form Filing Number] Dental Insurance | PPO Plan Summary of Benefits