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 You + one or You + family |
| The Plan Pays: Preventive Care | Plan pays 100% Includes exams, cleanings, sealants, X-rays |
| Major Care | Plan pays 50% after deductible |
| 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™.
