Results for Dental

What’s Covered Under the Comprehensive Option

With the Comprehensive dental option, you get coverage for preventive and basic care, including sealants, bitewing X-rays and full-mouth X-rays. Plus, you get coverage for major care, like bridges, crowns, inlays, onlays, dentures and implant once every seven years. In addition, you’re covered for TMJ and orthodontia.

You might consider the Comprehensive option if you or your dependents need orthodontia during the upcoming plan year.

 Comprehensive Option
Your Deductible

You
$50

You + one or You + family
$150

The Plan Pays: Preventive Care

Plan pays 100% Includes exams, cleanings, sealants, X-rays

Major Care

Plan pays 50% after deductible
Includes crowns, dentures, bridges

Orthodontia

50% up to the lifetime maximum of $2,000

 

Temporomandibular Joint Dysfunction (TMJ)

50% up to the lifetime maximum of $1,000

Annual Benefits Maximum

$2,000

Reasonable and Customary Charges: The plan pays up to reasonable and customary (R&C) charges for out of network care. You are responsible for any cost difference if your expenses are more than the R&C limits.

A Note About Dental Services

There may be limitations to some of these benefits, including, but not limited to, the number of cleanings and oral exams covered in a calendar year, and time limitations for filling and crown replacements. For more information on services, go to Your Benefits™.