DENTAL INSURANCE
Kisinger Campo & Associates offers dental coverage through Anchor Benefit Consulting, Inc. The Dental Plan allows you to see any provider and/or specialist you choose. The chart below provides a brief overview of the plan
Accepting Dentist: Patient presents ID card to dentist. The dentist can verify benefits via toll free number on ID card. At the time of visit, patient pays a $15.00 office visit co-payment and any applicable coinsurance. Dentist then files a claim for a balance.
Non-Accepting Dentist: Patient pays entire fee at time of visit or makes suitable arrangements with dentist’s office. Patient submits copay of bill and proof of payment with a claim form and patient is reimbursed for charges less a $20.00 copay and any applicable coinsurance.
DENTAL PLAN
In-Network
Calendar Year Deductible
NONE
Annual Maximum (per covered member)
Per covered member
$1,800
Tier 1
100% of the first $150
Tier 2
70% of the next $100
Tier 3
50% thereafter
Ortho
Lifetime Benefit
$1,800
Bi-Weekly Cost for Coverage
$14.59
Employee Only
$29.55
Employee + 1
$44.50
Employee + 2 or more
6
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