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DENTAL

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DENTAL

Administered by Aetna

Regular dental exams can help you and your dentist detect problems in the early stages when treatment is simpler and costs are lower. Keeping your teeth and gums clean and healthy will help prevent most tooth decay and periodontal disease, and is an important part of maintaining your medical health.

Resources

PPO Dental Book

PPO Dental Schedule of Benefits

	In-Network	Out-of-Network
Calendar Year Deductible: Single / Family	$50/$100	$50/$100
Annual Maximum Benefit	$1,000	$1,000
Orthodontia Lifetime Maximum	$1,000	$1,000
Type A: Preventive Care	100% of negotiated charge	100% of negotiated charge
Type B: Basic Care	80% of negotiated charge	80% of negotiated charge
Type C: Major Care	60% of negotiated charge	60% of negotiated charge
Orthodontia	50% of negotiated charge	50% of negotiated charge