Dental Coverage
Regular dental exams can help you and your dentist detect problems in the early stages when treatment is simpler and costs are lower. Your PPO dental plan is through Equitable and offers “in and out-of-network” benefits.
Insurance Carrier:
Equitable Dental Insurance
Calendar Year Deductible Calendar Year Maximum
$50 Individual / $150 Family
$1,000
Preventive Services
100%
Basic Services Major Services
80% 50% 50%
Endo/Perio
Out-of-Network Reimbursement
90th Percentile Plan
Per Pay Period
Employee Only
$5.46
Employee + Spouse Employee + Child(ren)
$10.93 $13.94 $19.40
Family
5 ULTRA COMMERCIAL INTERIORS, INC. 2023 BENEFITS OVERVIEW
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