Dental
Lincoln - DPPO Base
Lincoln - DPPO Buy Up
IN NETWORK Annual Deductible (Ind. / Family)
$50 / $150
$50 / $150
Preventive Care
No Charge
No Charge
Basic Procedures (Extractions, fillings, etc.) Major Procedures (Crowns, dentures, etc.)
50%
80%
50%
50%
Child Orthodontia
Not Covered
Not Covered
Calendar Year Maximum Benefit
$1,500
$1,500
OUT OF NETWORK Annual Deductible (Ind. / Family)
$50 / $150
$50 / $150
Preventive Care
No Charge
No Charge
Basic Procedures (Extractions, fillings, etc.) Major Procedures (Crowns, dentures, etc.)
50%
80%
50%
50%
ID Cards : Lincoln will ONLY issue electronic ID cards through the app or online portal
Child Orthodontia
Not Covered
Not Covered
Calendar Year Maximum Benefit
$1,500
$1,500
EMPLOYEE COST
Weekly
Bi-Weekly
Weekly
Bi-Weekly
$2.26
$3.07
Employee
$4.52
$6.13
$6.30
$8.54
Employee + Spouse
$12.61
$17.08
$6.33
$8.58
Employee + Child(ren)
$12.67
$17.17
$10.43
$14.13
Employee + Family
$20.87
$28.26
Let’s keep moving, New York. Let’s keep moving.
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