Microsoft PowerPoint - 2018 DEX Benefits At A Glance - Revi…

Dental

DEX Imaging offers 2 dental plan options through Sunlife Financial. The PPO Dental plans allow you to use in‐network or out‐of‐network benefits. If out‐of‐network dentists are used, you will be responsible for paying the difference between Sunlife’s allowed amount and what the dentist may charge, also known as “balance billing”. The chart below provides a brief overview of the plans.

LOW PPO Dental Plan

HIGH PPO Dental Plan

IN‐NETWORK CALENDAR YEAR DEDUCTIBLE  (applies to basic and major services only) Individual $50 

$50 

$150 

$150 

Family

ANNUAL MAXIMUM  (maximum Sunlife will pay towards claims per year) Per covered person $1,250

$1,250

DIAGNOSTIC & PREVENTIVE

Exams, Cleanings (2 in 12 months), X‐Rays, Sealants, etc.

Covered in full

Covered in full

BASIC SERVICES

Amalgam Fillings, Extractions ‐ Single  Tooth, Endodontics (Root Canal) &  Periodontics (Gum Disease)

20% after deductible

Covered in full after deductible

MAJOR SERVICES Crowns, Bridges & Dentures OUT‐OF‐NETWORK*  CALENDAR YEAR DEDUCTIBLE 

50% after deductible

40% after deductible

$100 / $300

$100 / $300

ANNUAL MAXIMUM 

$1,250

$1,250

SERVICES Diagnostic & Preventive Basic Major

You pay 0% after deductible  50% after deductible  75% after deductible 

You pay 0% after deductible  20% after deductible  50% after deductible 

Cost for coverage  (per paycheck)

Employee 

$  8.74 $20.48 $22.01 $33.19

$13.27 $31.12 $33.43 $50.42

Employee + Spouse Employee + Child(ren) Employee + Family

6 • Subject to balance billing.  Please refer to your plan document for specific details.

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