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. Your PPO dental plan is through Anthem and offers “in and out-of-network” benefits.
Insurance Carrier:
Anthem Dental Insurance
Plan Type:
Traditional Preferred
Calendar Year Deductible Calendar Year Maximum
$50 Individual / $150 Family
$1,000
Preventive Services
100%
Basic Services Major Services
80% 50% 50%
Endo/Perio
Out-of-Network Reimbursement
90th Percentile Plan
Per Pay Period
Employee Only
$5.75
Employee + Spouse Employee + Child(ren)
$11.51 $14.67 $20.43
Family
5
USRN PARTNERS 2022 BENEFITS GUIDE
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