In network: We pay 60% Out of network: We pay 60%*
Class C Major Services
Examples: Inlays, Onlays, Crowns, Root Canal, Full & Partial Dentures, Pontics, General Anesthesia/Intravenous Sedation
In network: We pay 40% Out of network: We pay 40%*
Orthodontia**
In network: We pay 30% Out of network: We pay 30%*
Orthodontia Lifetime Maximum (per member)
$1,500
*If you use an out-of-network dentist, you may pay more based on your dentist's charges.
**Covered after continuous enrollment in plan for 24 months. Available up to age 19.
NEW for 2009! Bigger $3000 in-network/$2000 out-of-network annual maximum.
