Benefit Exclusions
With the Lincoln Dental Mobile App • Find a network dentist near you in minutes • Have an ID card on your phone • Customize the app to get details of your plan • Find out how much your plan covers for checkups and other services • Keep track of your claims Lincoln DentalConnect® Online Health Center • Determine the average cost of a dental procedure • Have your questions answered by a licensed dentist • Learn all about dental health for children, from baby’s first tooth to dental emergencies • Evaluate your risk for oral cancer, periodontal disease and tooth decay Covered Family Members When you choose coverage for yourself, you can also provide coverage for:
Like any coverage, this dental coverage does have some exclusions.
• The policy does not cover services started before coverage begins or after it ends. Benefits are limited to appropriate and necessary procedures listed in the policy. Benefits are not payable for duplication of services. Covered expenses will not exceed the policy’s usual and customary allowances. • Benefits are not payable for a condition that is covered under Workers’ Compensation or a similar law; that occurs during the course of employment or military service or involvement in an illegal occupation, felony, or riot; or that results from a self-inflicted injury. • The policy does not cover an orthodontia treatment plan started before coverage begins unless the member was receiving orthodontia benefits from the employer’s previous group dental policy. In this case, Lincoln Financial will continue orthodontia benefits until the combined benefit paid by both policies is equal to this summary plan description’s lifetime orthodontia maximum. Plan benefits are not payable if the orthodontic appliance was installed after the age of 19. • In certain situations, there may be more than one method of treating a dental condition. The policy includes an alternative benefits provision that may reduce benefits to the lowest-cost, generally effective, and necessary form of treatment. • Certain conditions, such as age and frequency limitations, may impact your coverage. See the policy for details. • The policy includes continuation of coverage for employees with dental coverage from a previous employer. The member is required to complete the Continuity of Coverage form located on LincolnFinancial.com. The Continuity of Coverage form must be provided to us prior to the effective date to be eligible for continuation of coverage.
• Your spouse or domestic partner. • Dependent children, up to age 26
This is an incomplete list of benefit exclusions. A complete list is included in the policy. State variations apply.
Questions? Call 800-423-2765 and mention Group ID: 970629.
This is not intended as a complete description of the coverage offered. Controlling provisions are provided in the policy, and this summary does not modify coverage. A certificate of coverage will be made available to you that describes the benefits in greater detail. Refer to your certificate of coverage for your maximum benefit amounts.
Lincoln DentalConnect ® health center web content is provided by go2dental.com, Santa Clara, CA. Go2dental.com is not a Lincoln Financial Group® company. Coverage is subject to actual policy language. Each independent company is solely responsible for its own obligations.
Group insurance products and services described herein are issued by The Lincoln National Life Insurance Company, Fort Wayne, IN, which does not solicit business in New York, nor is it licensed to do so. In New York, insurance products are issued by Lincoln Life & Annuity Company of New York, Syracuse, NY. Both are Lincoln Financial Group® companies. Product availability and/or features may vary by state. Lincoln Financial Group is the marketing name for Lincoln National Corporation and its affiliates. Affiliates are separately responsible for their own financial and contractual obligations. Network access plans for specific states are located on LincolnFinancial.com under the Forms section. Limitations and exclusions apply.
©2022 Lincoln National Corporation LCN-4450134-030222 GP-DENT-FLI001_Z01
Dental Coverage Benefit At-A-Glance 3
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