Accidental Dental
Coverage details pending
Superior Accident Dental Maximum- $500 Preferred Accident Dental Maximum - $$300
Exclusions: nan
Basic Dental Care - Adult
10.00% Coinsurance after deductible
Tier 1 in-network
10.00% Coinsurance after deductible
Out-of-network
10.00% Coinsurance after deductible
nan
Exclusions: nan
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
nan
Exclusions: nan
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
nan
Exclusions: nan
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.
Exclusions: nan
Routine Dental Services (Adult)
No Charge
Tier 1 in-network
No Charge
Out-of-network
No Charge
nan
Exclusions: nan