We offer two different dental insurance plans to fit your needs

WAITING PERIOD PLAN GRADED BENEFIT PLAN
Class A - PREVENTIVE Class A - PREVENTIVE
• Initial & Periodic Exams (2 per year)     • X-Rays
• Cleanings (2 per year)
• Initial & Periodic Exams (2 per year)     • X-Rays
• Cleanings (2 per year)
Deductible None Benefit Year One 100%
Waiting Period None Benefit Year Two 100%
Coinsurance 100% Benefit Year Three and Each Thereafter 100%
Deductible Per Insured $50Lifetime
Waiting Period

 None
Class B - BASIC Class B - BASIC
• Fillings     • Endodontics     • Oral Surgery
• Simple Extractions     • Periodontics
• Fillings     • Endodontics     • Oral Surgery
• Simple Extractions     • Periodontics
Deductible—Each Calendar Year Per Insured $50 Benefit Year One 35%
Waiting Period 6Months Benefit Year Two 50%
Coinsurance 80% Benefit Year Three and Each Thereafter 65%
Deductible Per Insured $50/Year
Waiting Period

 None
Class C - MAJOR Class C - MAJOR
• Crowns     • Dentures     • Bridges
• Crowns     • Dentures     • Bridges
Deductible—Each Calendar Year Per Insured $50 Benefit Year One 10%
Waiting Period 12Months Benefit Year Two 25%
Coinsurance 50% Benefit Year Three and Each Thereafter 50%
Deductible—Each Calendar Year Per Insured $50/Year
Waiting Period

 None
Calendar Year Max for Calendar Year Max for
Class A, B & C* Combined $1,000 or
$2,000		 Class A, B & C* Combined $1,000 or
$2,000
* Class B & C deductible is combined for each calendar year. You must choose either $1000 or $2000 for a Calendar Year Max. * Class B & C deductible is combined for each calendar year. You must choose either $1000 or $2000 for a Calendar Year Max.



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