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Dental
Benefits
Those dental Procedures or Services included
in the Schedule of Covered Benefits. This policy will pay the Insurance
Payment amount not to exceed the lesser of the Dentists' Actual or Usual,
Customary, and Reasonable Fee.
Deductible
The policy does not cover the first fifty
dollars ($50) of the eligible benefits" insurance allowance"
for Dental Procedures or Services received by a covered individual during
each benefit year. For Family Unit Coverage, the maximum deducible amount
shall be one hundred fifty dollars ($150).
Such
Deductible amount shall apply to all dental benefits, except Coverage
I. which is Diagnostic and II. which is Preventative Procedures. Example
of I is Comprehensive Oral Evaluation and II is Routine Cleanings.
Coverage
Limits
The maximum amount of Dental Benefits
for all converges except Coverage XI shall be one thousand dollars ($1000)
per Benefit Year.
Orthodontic
benefits under Coverage XI are subject to a separate lifetime maximum
of one thousand dollars ($1000) per dependent child under nineteen (19)
years of age.
Eligibility
As of the Group Plan Commencement Date,
all present, regular, full time employees who work a minimum of thirty
(30) hours per week.
We
can sell individual dental plans, and group dental plans
with three or more employees in the group.
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