Dental

Time away from work
Services Coverage Maximum benefit
Oral exam, once every 24 months Covered at 80% $1,000 per calendar year
Preventive and basic services (fillings, root canals, simple extractions, etc.) Covered at 80% $1,000 per calendar year
Major services (crowns, inlays, bridges and dentures) Covered at 50% $1,500 per calendar year
Orthodontia for children under age 19 Covered at 50% $1,500 lifetime maximum per child

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