Basic Dental Care - Adult
50.00% Coinsurance after deductible
Tier 1 in-network
50.00% Coinsurance after deductible
Out-of-network
70.00% Coinsurance after deductible
nan
Exclusions: nan
Dental Check-Up for Children
No Charge
Tier 1 in-network
No Charge
Out-of-network
30.00% Coinsurance after deductible
Limit: 1.0 Visit(s) per 6 Months
nan
Exclusions: nan
Major Dental Care - Adult
100.00%
Tier 1 in-network
100.00%
Out-of-network
100.00%
Essential Value - Dental Acident Benefit Maximum - $200 Essential Basic - Dental Accident Benefit Maximum - $100
Exclusions: nan
Routine Dental Services (Adult)
No Charge
Tier 1 in-network
No Charge
Out-of-network
30.00% Coinsurance after deductible
nan
Exclusions: nan