2019 Colonial Distributing Benefit Guide

DENTAL INSURANCE

Colonial Distributing offers dental coverage through Guardian. The Dental DHMO Plan is an in-network plan only, whereas the Dental PPO Plan allows 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 Guardian’s allowed amount and what the dentist may charge, also known as “balance billing”. The chart below provides a brief overview of the plan.

Dental

BASE DMO Plan

PREMIUM PPO Plan

In-Network

In-Network

Out-of Network*

Calendar Year Deductible Individual

Not Applicable

$50

$50

Family

Not Applicable

$150

$150

Annual Maximum

$1,000

Not Applicable

$1,000

Diagnostic & Preventive Exams

Cleanings Fluoride X-Rays Sealants Regular Restorative Services Amalgam Fillings

Fee Schedule

Covered in full

Covered in full

Covered 90% after deductible

Fee Schedule

Covered 80% after deductible

Extractions - Single Tooth Major Services Crowns

Bridges Dentures

Fee Schedule

Covered 60% after deductible Covered 50% after deductible

Endodontics (Root Canal) Periodontics (Gum Disease)

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

BASE DHMO Dental Plan

PREMIUM PPO Dental Plan

Employee Contributions (Bi-Weekly)

Employee Only

$ 1.15 $ 5.08 $ 8.82 $12.54

$ 7.70 $21.66 $29.40 $42.73

Employee/Spouse

Employee/Child(ren)

Family

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