Accidental Dental
Coverage details pending
Issuer did not share extra notes for this benefit beyond the summary above.
Basic Dental Care - Adult
30.00% Coinsurance after deductible
Tier 1 in-network
30.00% Coinsurance after deductible
Out-of-network
30.00% Coinsurance after deductible
Dental Check-Up for Children
No Charge
Tier 1 in-network
No Charge
Out-of-network
No Charge
Limit: 2.0 Exam(s) per Benefit Period
Major Dental Care - Adult
60.00% Coinsurance after deductible
Tier 1 in-network
60.00% Coinsurance after deductible
Out-of-network
60.00% Coinsurance after deductible
Orthodontia - Adult
Coverage details pending
Issuer did not share extra notes for this benefit beyond the summary above.
Orthodontia - Child
50.00%
Tier 1 in-network
50.00%
Out-of-network
50.00%
Limit: 1.0 Treatment(s) per Lifetime
Only for the treatment of improper alignment of biting or chewing surfaces of upper and lower teeth through the installation of orthodontic appliances.
Routine Dental Services (Adult)
No Charge
Tier 1 in-network
No Charge
Out-of-network
No Charge