Dental
Annual Deductible
$50 Individual/$150 Family
Calendar Year Maximum
$1,500 per person
Preventative Care (2 times per year) Oral exams, cleanings, x-rays
100%, no deductible
Basic Expenses Fillings, extractions, root canals, periodontal treatment for gum disease and oral surgery
80% after deductible
Major Expenses Inlays, onlays, crowns, bridges, dentures
50% after deductible
Orthodontia For eligible dependent children
