Basic Dental Plan
|
Lifetime Deductible |
$50/person |
|
Annual maximum benefit |
$1,500/person |
|
Diagnostic/preventive service: Exams, Cleaning (including periodontal), Application of fluoride, X-rays & Space maintainers |
80% * Deductible applies
|
|
Basic restorative services: Fillings, Surgery, Endodontics, Periodontal procedures such as bone and gum (gingival) surgery |
80% * Deductible applies
|
|
Major Restorative Services: Onlays, Crowns, Bridges |
50% * Deductible applies |
|
Orthodontia and treatment of Bruxism |
Not 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 or family coverage under the Basic Dental Plan.
There is no cost to Full-time employees. Part-time employees have the following cost:
2008 PT Bi-weekly Cost:
| Employee Only | $0 |
| Employee & Child(ren) | $24.00 |
| Employee & Spouse | $17.08 |
| Employee, Spouse & Child(ren) | $41.08 |
There is no employee cost for this plan for Full-Time employees when you choose an ABX medical plan. In choosing Dental Vision only, the costs are as follows:
Employee Dental/Vision Only Bi-weekly Cost (Effective January 1, 2008)
|
Employee Only |
$18.46/bi-weekly |
|
Employee & Child(ren) |
$43.85/bi-weekly |
|
Employee & Spouse |
$36.46/bi-weekly |
|
Employee, Spouse & Child(ren) |
$61.85/bi-weekly |
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