Smart Choice Dental Plans- 5 to 300 Dental Indemnity Plans
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Smart Choice |
Plan A | Plan B | Plan C | Plan D |
Class I – Preventive Services -Dental Exams -Cleanings -Fluoride Treatments -X-rays |
No deductible, no waiting periods, 100% coverage for eligible expenses | No deductible, no waiting periods, 100% coverage for eligible expenses | $25 one-time co-pay, no waiting periods, 80% coverage for eligible expenses | $25 one-time co-pay, no waiting periods, 80% coverage for eligible expenses |
Class II – Basic Services -Emergency palliative treatment -Fillings-amalgam, porcelain, plastic -Extractions, anesthesia -Space maintainers -Pathology |
$50 calendar year deductible 80% No waiting periods. Special feature: root canals & pulp capping covered at 80% NOT 50% |
$75 calendar year deductible 80% No waiting periods |
$50 calendar year deductible 80% No waiting periods. Special feature: root canals & pulp capping covered at 80% NOT 50% |
$75 calendar year deductible 60% No waiting periods |
Class III – Major Srevices Restorative -Prosthetics -Crowns & gold fillings, inlays, onlays, pontics and other eligible services -Periodontics |
Basic deductible applies to major services, 12-month initial waiting period(1), pays 50% of eligible expenses |
Basic deductible applies to major services, 12-month initial waiting period(1), pays 50% of eligible expenses |
Basic deductible applies to major services, 12-month initial waiting period(1), pays 50% of eligible expenses |
Basic deductible applies to major services, 12-month initial waiting period(1), pays 50% of eligible expenses |
Class IV – Orthodontia -Orthodontics -For dependent children throught age 19 only |
Pays up to 50% of eligible expenses, $300 per calendar year maximum per child, $1,500 maximum orthodontic benefit per child while covered under this plan, no annual deductible, 12-month waiting period applies(1) |
No orthodontic coverage available |
Pays up to 50% of eligible expenses, $300 per calendar year maximum per child, $1,500 maximum orthodontic benefit per child while covered under this plan, no annual deductible, 12-month waiting period applies(1) |
No orthodontic coverage available |
Plan Calendar Maximum Benefit | $1,500 | $1,000 | $2,000 | $1,200 |
Special Supplemental Dental Accident Benefit – Covers accidental injury to sound, natural teeth |
Special first dollar benefit up to $1,000 |
Special first dollar benefit up to $1,000 |
Special first dollar benefit up to $1,000 |
Special first dollar benefit up to $1,000 |
All Plans Feature |
12 month initial rate guarantee |
(1) For groups with comparable dental coverage, the waiting period for major services may be waived.
All plans feature: 12 month initial rate guarantee -choice of any licensed Dentist. No waiting periods for preventative diagnostic and basic services -dental products not available in all states.
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