Dental & Orthodontia Coverage

Dental

The Dental Plan is designed to help employees and their family members maintain good dental health through regular preventive care and assist in paying larger dental expenses.

• Fiscal Year Deductible: $25 per covered person
• Coinsurance: Plan pays 80%, Employees pay 20%
• Benefit Maximum: $750 per person per fiscal year
  

Each year, employees must satisfy a fiscal year deductible. After that, when covered dental charges are incurred, the plan pays a percentage of the customary and reasonable charges up to the benefit maximum. Employees are responsible for the coinsurance payment (and any amount over the customary and reasonable charge).

• Summary of Covered Dental Expenses

Dental/ Orthodontia

You may choose Dental/Orthodontic coverage for yourself and/or your dependents.  Orthodontia coverage  includes Dental (as listed above) and Orthodontia as follows:

• Coinsurance: Plan Pays 50%, You Pay 50%
• Benefit Maximum: $1,000 Lifetime Maximum
  

The plan will pay 50% of covered expenses up to $1,000.  This amount applies to each covered person separately, up to a lifetime benefit of $1,000. The Orthodontic Plan only covers expenses that begin after your coverage begins.

• Summary of Covered Orthodontic Expenses