Sample Guide

Dental

Detwiler’s Farm Market offers 2 dental plan options through Sunlife Financial. The PPO Dental plans allow you to use in-network or out-of-network benefits. If out-of-network dentists are used, you will be responsible for paying the difference between Sunlife’s allowed amount and what the dentist may charge, also known as “balance billing” . The chart below provides a brief overview of the plans.

LOW PPO Dental Plan

HIGH PPO Dental Plan

IN-NETWORK

CALENDAR YEAR DEDUCTIBLE (applies to basic and major services only)

$50

$50

Individual

$150

$150

Family

ANNUAL MAXIMUM (maximum Sunlife will pay towards claims per year)

Per covered person

$1,250

$1,250

DIAGNOSTIC & PREVENTIVE

Exams, Cleanings (2 in 12 months), X-Rays, Sealants, etc.

Covered in full

Covered in full

BASIC SERVICES

Amalgam Fillings, Extractions - Single Tooth, Endodontics (Root Canal) & Periodontics (Gum Disease)

20% after deductible

Covered in full after deductible

MAJOR SERVICES

50% after deductible

40% after deductible

Crowns, Bridges & Dentures

OUT-OF-NETWORK* CALENDAR YEAR DEDUCTIBLE

$100 / $300

$100 / $300

ANNUAL MAXIMUM

$1,250

$1,250

SERVICES Diagnostic & Preventive Basic Major

You pay 0% after deductible 50% after deductible 75% after deductible

You pay 0% after deductible 20% after deductible 50% after deductible

Cost for coverage (per paycheck)

Employee

$ 8.74

$13.27

Employee + Spouse Employee + Child(ren) Employee + Family

$20.48 $22.01 $33.19

$31.12 $33.43 $50.42

• Subject to balance billing. Please refer to your plan document for specific details.

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