Enhanced Dental Plan
|
Annual Deductible |
$25/person |
|
Annual Maximum Benefit |
$2,000/person |
|
Diagnostic/preventive service: Exams, Cleaning (including periodontal), Application of fluoride, X-rays & Space maintainers |
100% * Deductible does not apply |
|
Basic restorative services: Fillings, Surgery, Endodontics, Periodontal procedures such as bone and gum (gingival) surgery |
80% * Deductible applies |
|
Major restorative services: Onlays, Crowns and Bridges, etc. |
50% * Deductible applies |
|
Orthodontia and treatment of Bruxism |
50% * up to $1,000 in benefits for the entire time participant is covered. |
|
Emergency treatment |
Same as any other covered expense |
* The plan pays benefits based on reasonable and customary charges.
Full-time and Part-time employees may elect employee only coverage or family coverage under the Enhanced Dental plan.
Vision is included in the cost for this plan.
Employee Enhanced Dental/Vision Bi-weekly Cost (Effective January 1, 2015)
|
Employee Only |
$8.95/bi-weekly |
|
Employee & Child(ren) |
$17.29/bi-weekly |
|
Employee & Spouse |
$17.45/bi-weekly |
|
Employee, Spouse & Child(ren) |
$29.37/bi-weekly |
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