Community Action for Improvement, Inc. - 2023-2024 Benefits…

Dental Coverage

Good dental care is critical to your overall well-being. With Aetna 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 aetna.com/findadentist

Insurance Carrier:

Aetna Dental Insurance

Plan Type:

Passive PPO

Calendar Year Deductible Calendar Year Maximum

$50 Individual / $150 Family

$1,500

Preventive Services

100%

Basic Services Major Services

80% 50%

Out-of-Network Reimbursement

90% UCR

Employee Semi-Monthly Deduction Employee Only

$4.76 $9.29

Employee + Spouse Employee + Child(ren)

$12.81 $17.34

Family

14 COMMUNITY ACTION FOR IMPROVEMENT, INC. 2023 BENEFITS GUIDE

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