

Plan includes a free membership in vision, hearing & prescription discount programs.
Summary of Benefits |
|
||||||||||||||||
Preventive Office visit, cleaning, oral exam and x-rays |
|
||||||||||||||||
Basic Simple extractions and fillings |
|
||||||||||||||||
Major Crowns, bridges, dentures, inlays, periodontics, endodontics and oral surgery |
|
||||||||||||||||
Orthodontics |
|
||||||||||||||||
Waiting Periods |
6 months basic / 12 months major | ||||||||||||||||
Deductible |
$50 per subscriber per calendar year for basic and major services |
||||||||||||||||
Annual Maximum |
$1,000 per subscriber 20-30% discount on all covered services after the annual maximum has been reached |
||||||||||||||||
Additional Information |
For subscribers ages 65 and older there is a $25 office co-pay and $100 deductible per subscriber per calendar year. TDA PPO Network |
||||||||||||||||
Payment Method |
|
||||||||||||||||
All Plans allow monthly payments by Visa, MasterCard, Discover or automatic bank account withdrawals. Automatic payment comes out on the 20th of each month. There is a one-time enrollment fee of $10.00 for all new applications. Please include it with your first month premium payment. Plans start on the 1st of each month. |
|