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OUT OF
NETWORK
IN-NETWORK
None
100%
after $25 co-pay(*)
Preventive
Office visit, cleaning, oral exam and x-rays
50% The First Year of Policy
80% Covered The Second Year and Thereafter
after $25 co-pay(*)
10% Covered The First Year of Policy
60% Covered The Second Year and Thereafter
after $25 co-pay (*) (1)
Basic
Simple extractions and fillings
Major
Crowns, bridge, dentures, inlays, periodontics, endodontics, oral surgery and Implants (1)
Deductible
$5000 per person
Annual Maximum
No Orthodontics
None
Waiting Periods
Orthodontics
In-Network Orthodontist only
BestOne Dental
Choice Dental Plan PPO
$5000
Summary
of
Benefits
Pays the Same as
in-network subject to balance billing.
see plan details for
more information
Plan also comes with a discount vision plan though
BestOne EyeMed click the link to see the discount benefits that come with the plan.
(*) There is a $25 co-pay for all visits.
(1) implants covered on same benefits schedule as a fixed prosthetic.
DENTAL COVERAGE BENEFITS PROVIDED ARE SUPPLEMENTAL AND ARE NOT INTENDED TO COVER ALL DENTAL EXPENSES
Read Your Policy Carefully--This outline of coverage provides a very brief description of the important features of your policy. This is not the insurance contract and only the actual policy provisions will control. The policy itself sets forth in detail the rights and obligations of both you and your insurance company. It is, therefore, important that you READ YOUR POLICY CAREFULLY!