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Dental

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**, scaling, polishing flouride

100%

N/A

100%

Minor Restorative
• fillings

75%

20%

95%

Extractions
• limited to 2 wisdom teeth per benefit year

75%

20%

95%

Endodontic & Periodontic
• root canals

10%

20%

30%

Major Restorative
• bridges, crowns & dentures

10%

20%

30%

Benefit year maximum of $500 and specific limits may also apply.
Pre-approval required for treatment plan exceeding $300.

** Exam includes: diagnosis, x-rays, 4 units of scaling (above the gum line) and one unit of polishing. One exam 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.

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