Dental

Amazing dental insurance coverage with low rates!

Preventative Care
We will pay 80% of Covered Expenses after You meet Your deductible and coinsurance. Benefits include:

• Initial and Periodic oral examinations. Limited to one during a consecutive 6 month period;
• Intraoral X-rays, with or without bitewings. Limited to one series in a consecutive 36 month period;
• Bitewing X-rays. Limited to one set during a consecutive 12 month period;
• Prophylaxis (cleaning of teeth) with or without an oral examination. Limited to one treatment during a consecutive 6 month period;
• Periodontal Prophylaxis (deep scaling and cleaning). Limited to one treatment during a consecutive 6 month period;
• Topical application of fl uoride for Covered Insureds under 19 years of age. Limited to one treatment during a consecutive 12 month period;
• Temporary treatment to relieve dental pain; and
• Space maintainers (fi xed or lateral) for missing primary teeth.

Basic Care
We will pay 50% of Covered Expenses after You meet Your deductible and coinsurance, when services are Provided at least 6 months after the Issue Date. Benefits include:

• General anesthesia, when Medically Necessary and in connection with Oral Surgery;
• Amalgam, silicate cement, acrylic or plastic fillings;
• Topical application of sealant on a posterior tooth for Covered Insured's under 14 years of age. Limited to one treatment per tooth in a consecutive 36 month period;
• Root Canal Therapy, including treatment plan and follow-up care;
• Apicoectomy. If performed with a root canal, this service will be considered a separate service;
• Gingivectomy or gingivoplasty, per quadrant;
• Osseous surgery, per quadrant. If more than one periodontal surgery service is performed per quadrant, only the most inclusive surgical service performed will be considered a Covered Expense under the Certificate;
• Periodontic scaling;
• Repairs and adjustments to Dentures. This will not be considered a Covered Expense if performed within 6 months of: Denture installation; adjustments to Dentures or Partial Dentures; replacement of a broken tooth or complete or Partial Denture; other Denture repairs; and re-cementing of a bridge;
• Simple tooth Extractions; and
• Surgical Extractions of an Impacted tooth, including full bony Impaction.

Major Care
We will pay 50% of Covered Expenses after You meet Your deductible and coinsurance, when services are provided at least 12 months after the Issue Date. Benefits include the following:

• Gold inlay fillings, two or three surfaces;
• Single Crown restorations;
• Dentures, including fixed or removable prosthetic devices, complete Dentures, upper and lower;
• Partial Dentures; lower, with two clasps and gold lingual bar; upper with two clasps and gold palatal bar;
• Bridge Pontics; and
• Abutment Crowns.