Brookstone School - 2024 Benefits Guide

Dental Coverage

Good dental care is critical to your overall well-being. With Anthem Dental Insurance, you can get the attention your teeth need - at a cost you can afford. To get the most from your benefits and reduce out-of-pocket costs, choose an in-network provider by utilizing our large national network. These providers have agreed to file your claims and uphold the highest quality standards. You can find in-network providers at anthem.com/provider/

Insurance Carrier:

Anthem Dental Insurance

Plan Type: Calendar Year Deductible Calendar Year Maximum

$50 Individual / $150 Family

$1,000

Preventive Services

100%

Basic Services Major Services

90% 60% 50%

Orthodontia (dependent children only) Out-of-Network Reimbursement Employee Monthly Deduction Employee Only

90% Percentile

$8.82

Employee + Spouse Employee + Child(ren)

$26.54 $44.91 $77.01

Family

6 BROOKSTONE SCHOOL 2024 BENEFITS GUIDE

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