Dental Coverage
Good dental care is critical to your overall well-being. With Sun Life 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.
Insurance Carrier:
Sun Life Dental Insurance
Plan Type:
Basic
Enhanced
Calendar Year Deductible Calendar Year Maximum
$50 Individual / $150 Family $50 Individual / $150 Family
$1,000
$2,000
Preventive Services
100%
100%
Basic Services Major Services
80% 50%
90% 60%
Orthodontia (dependent children only) Out-of-Network Reimbursement
N / A
$1,000
90th UCR
90th UCR
Employee Bi-Weekly Deduction Employee Only
$6.76
$13.79 $26.57 $37.19 $47.02
Employee + Spouse Employee + Child(ren)
$15.80 $15.54 $22.27
Family
time insured continuously under a dental plan benefits provided for only these services Less than 6 months Preventive Services At least 6 months but less than 12 months Preventive Services and fillings under Basic Services At least 12 months Preventive, Basic, Major and Ortho Services
11 ACOM INTEGRATED SOLUTIONS 2024 BENEFITS GUIDE
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