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 includes: diagnosis, tests, x-rays, two units of scaling, two units of polishing, and a 6-month recall.	80%	20%	100%
Minor Restorative • fillings, denture adjustment & repairs	80%	20%	100%
Extractions • limited to 2 wisdom teeth per benefit year	75%	20%	95%
Endodontic & Periodontic • root canals	60%	20%	80%
Major Restorative •- crowns, bridges and dentures (excludes orthodontics)	15%	20%	35%
Benefit year maximum of $1000 and specific limits may also apply. Pre-approval required for treatment plan exceeding $500.

* The Insured portion is based on the insurer';s current eligible fee. The Dental Partner Savings is based on the dentists' fees. Since the dentist is not restricted to the insurer's fees, if the dentist's fee's exceed the amount eligible from the insurer, than the total coverage (after the savings provided) may differ. Dental Partner Savings is not applicable to laboratory fees.

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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Dental

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