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Classic Plan
Economical coverage, with cost-sharing on all covered services with a monthly contract
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Plan year maximum$1,000
Per person per plan year
Deductible$50
does not apply to routine procedures
Preventive Care20%
Cleanings, exam, x-rays and fluoride
Fillings50%
6-month waiting period may apply
Crowns50%
12-month waiting period may apply
Root canal50%
12-month waiting period may apply
ImplantsNot covered
Non-Surgical Extractions50%
Gum disease deep cleaning50%
12 month waiting period may apply
Annual ContractYes
Waiting PeriodsMay apply
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Clear Plan
No guessing: fixed out-of-pocket costs, no waiting periods or dollar maximums*
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Plan year maximumNone
Per person per plan year
DeductibleNone
Preventive Care$60
Cleanings, exam, x-rays and fluoride
Fillings$120
Copay
Crowns$750
Copay; 1 tooth per 12 months
Root canal$500
Copay; 2 teeth per 12 months
Implants$2,500
per tooth; 1 tooth per 12 months
Non-Surgical Extractions$120
Copay per tooth
Gum disease deep cleaning$120
Copay
Annual ContractYes
Waiting PeriodsDoes not apply
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Enhanced Plan
Full preventive coverage, cost-sharing for restorative and major services
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Plan year maximum$1,000
Per person per plan year
Deductible$50
does not apply to routine procedures
Preventive Care0%
Cleanings, exam, x-rays and fluoride
Fillings20%
Crowns50%
12-month waiting period may apply
Root canal50%
12-month waiting period may apply
ImplantsNot covered
Non-Surgical Extractions50%
Gum disease deep cleaning50%
12 month waiting period may apply
Annual ContractYes
Waiting PeriodsMay apply
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Premium Plan
Highest maximum, lifetime deductible, implant coverage with largest network
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Plan year maximum$2,000
Per person per plan year
Deductible$100
per person per lifetime
Preventive Care0%
Cleanings, exam, x-rays and fluoride
Fillings20%
Crowns50%
12-month waiting period may apply
Root canal50%
12-month waiting period may apply
Implants50%
12-month waiting period may apply
Non-Surgical Extractions50%
12-month waiting period may apply
Gum disease deep cleaning50%
12 month waiting period may apply
Annual ContractYes
Waiting PeriodsMay apply
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