Plan year maximum
$2,000Per person per plan year
Deductible
$100does not apply to routine procedures
Preventive Care
0%Cleanings, exam, x-rays and fluoride
Crowns
50%12-month waiting period may apply
Root canal
50%12-month waiting period may apply
Implants
50%12-month waiting period may apply
Non-Surgical Extractions
50%12-month waiting period may apply
Gum disease deep cleaning
50%12-month waiting period may apply
Plan Details
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