USRN Partners - 2023 Benefits Guide

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:

Choice PPO

Calendar Year Deductible Calendar Year Maximum

$50 Individual / $150 Family

$1,500

Preventive Services

100%

Basic Services Major Services

80% 50% 80%

Endo/Perio

Out-of-Network Reimbursement Weekly Payroll Deduction Employee Only

90th Percentile Plan

$1.29 $7.94 $8.46

Employee + Spouse Employee + Child(ren)

Family

$12.85

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USRN PARTNERS 2023 BENEFITS GUIDE

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