Plan year maximum
$2,000Per person per plan year
Deductible
$100per person per lifetime
Preventive Care
0%Cleanings, exam, X-rays
Sealants
0%per tooth (through age 15)
Crowns
50%12 month waiting period may apply
Removable dentures
50%12 month waiting period may apply
Root canal
50%12 month waiting period may apply
Implants
50%12 month waiting period may apply
Non-Surgical Extractions
50%12 month waiting period may apply
Plan Details
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