Select Dental Plan 1500
$20.00
•
Individual for
$39.90
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Plus 1 for
$67.90
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Family for
$97.90
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Dental Insurance Plan With $1500 Maximum Benefit
Dental insurance plan provides: $1500 annual maximum benefit per person. No Waiting Periods for Group I - Diagnostic & Preventive Benefits and Group II - Basic Benefits, Basic Restorative, Fillings. Twelve month waiting period for: Group III - Major Procedures. No Referral Requirements. No Age Limit. See Any Dentist. More than 300 procedures covered. Fully underwritten and insured by an A rated insurance company. Available for groups, individuals and families. Available in all states.
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Dental Plan Summary
Preferred Scheduled $1500 Plan
See any dentist of your choice.
$1500 annual maximum benefit.
Low $50 deductible - waived for preventive services.
Set reimbursements for procedures - no surprises!
Cash paid directly to you or your provider.
Service Payment Schedule
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ADA Code
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Description
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Reimbursement
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0150
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Comprehensive oral evaluation - new or established patient
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$33.00
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0274
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X-Ray - bitewings - four films
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$26.00
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1110
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Routine Prophylaxis - adult (once every six months)
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$38.00
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2331
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Resin filling - two surfaces, anterior
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$50.00
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2750
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Crown -porcelain fused to high noble metal*
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$187.00
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3330
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Root Canal - Molar*
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$196.00
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4341
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Periodontal scaling and root planning - per quadrant*
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$48.00
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7110
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Single tooth (extraction)
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$40.00
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This illustration is a sample only. Please see the member certificate for all codes, exclusions, and limitations.
Click here for a full reimbursement schedule.
* Depending on your provider's billing practice.
* Documentation consisting of the most recent prior invoice and summary of benefits must be submitted the time of initial enrollment for waiver to be considered.
* 12 month wait for these services apply.
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Dental Plan Common Questions
THE PROBLEM
The main reason people don't go to the dentist is money. It's not fear, it's not time... it's money! Going to the Dentist is so expensive that many people simply cannot afford to take care of their teeth.
THE SOLUTION
The Select Dental Plan is "Revolutionary" and here's why!
QUESTION: Can I go to ANY Dentist?
ANSWER: Yes, you can go to any dentist.
QUESTION: Do I have to wait to get major dental work done?
ANSWER: All Basic and Preventive procedures are available as soon as your plan becomes effective. There is a 12 month waiting period for all Major Procedures.
QUESTION: Will I know what price I will be paying?
ANSWER: Yes, always discuss your contracted rate with your dentist prior to your procedure. You will also get a list that tells you what reimbursement the insurance will pay, so you will know exactly what your out of pocket costs will be.
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