To enhance your existing coverage, select dentists have agreed to help students by providing savings on certain plan eligible services. In order to access the select savings you must present your
myBenefits Card each visit.
NOTE TO STUDENT: Dentists are not restricted to the fee guide the insurance company uses. Therefore, total coverage may not be exactly as shown.
|
Insured
Portion*
|
Dental
Partner
Savings
|
Total
Coverage
|
Diagnostic and Preventative
- annual exam**
|
80%
|
20%
|
100%
|
Minor Restorative
- fillings, denture adjustment & repairs
|
75%
|
20%
|
95%
|
Extractions
|
75%
|
20%
|
95%
|
Endodontic & Periodontic
- root canals, other oral surgery
- one additional unit of scaling and/or root planing per benefit year
|
10%
80%
|
20%
20%
|
30%
100%
|
Major Restorative
- bridges, crowns & dentures |
10% |
20% |
30% |
Benefit year maximum of $750 and specific limits may also apply.
Pre-approval required for treatment plan exceeding $500. |
|
*Insured portion is based on insurer's current eligible fee for services rendered; as a result, total coverage amount may differ depending on the fees charged at the dental office. Discount not applicable to laboratory fees.
** Exam includes: diagnosis, x-rays, one unit of scaling and one unit of polishing. Limited to once per benefit year.
To take advantage of the savings brought to you by your student organization, use "Find a Practitioner" to access a Select Dental Partner in your area.