Benefits for 2024 Dental Coverage
SUMMARY OF COVERAGE
PPO
BENEFIT
In/Out of Network
Annual Deductible Individual / Family
$100/$300
Annual Maximum
$2,500 per person
Preventive Care Benefits
Covered 100%
Basic Services
20% afterdeductible
Major Services
50% afterdeductible
Orthodontia Lifetime Maximum (children up to age 19)
50% to $1,000 Lifetime Max
This booklet provides only a summary of your benefits. All services described within are subject to the definitions, limitations, and exclusions set forth in each insurance carrier or provider’s contract.
2024 Employee Benefit Guide
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