Page, Scrantom - Staffs Benefit Guide

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.

Keeping your teeth and gums clean and healthy will prevent most tooth decay and periodontal disease, and is an important part of maintaining your medical health.

Your PPO dental plan is through Humana and offers “in and out-of-network” benefits.

Insurance Carrier:

Humana Dental Insurance Traditional Preferred 14 $50 Individual / $150 Family

Plan Type:

Calendar Year Deductible Calendar Year Maximum

$1,500

Preventive Services

100%

Basic Services Major Services

80% 50% 50%

Endo/Perio

Orthodontic Lifetime (dependent children only) Out-of-Network Reimbursement Employee Bi-Weekly Deduction Employee Only

N / A

N / A

$15.89 $31.77 $40.51 $56.40

Employee + Spouse Employee + Child(ren)

Family

Page, Scrantom 2022 Enrollment Guide

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