Dental

PREVENTIVE SERVICES
No waiting period
Semi-Annual exams, cleanings and x-rays (bitewing) covered at 100% In-Network

BASIC SERVICES
No waiting period
Including x-rays, fillings, extractions and more!

Year 1 - 65%
Year 2 and thereafter - 80%

MAJOR SERVICES
No waiting period
Including bridges, crowns, full dentures or partials, implants, full mouth extractions and more!

Year 1 - 20%
Year 2 and thereafter - 50%

ORTHODONTIA
12-month waiting period

Year 2 and thereafter (In-Network ONLY) - 50% of eligible expenses up to the lifetime maximum of $1,500 per insured. 

Note: Lifetime maximum is shared with policy annual maximum benefit

Vision

BASIC SERVICES
No waiting period
Basic eye exam, eye refraction, single lenses, bifocal lenses and progressive lenses (1 per year)

Year 1 – 60%
Year 2 – 70%
Year 3 and thereafter – 80%
 

FRAMES AND LENSES
$200 maximum per year
Eyeglass Frames 6-month waiting period

Contact Lens Fitting Fee:
$15 (1 per year)

Anti-Reflective Lenses
$45 (1 per year)

Polycarbonate Lenses
$40 (1 per year)

Hearing

EXAMINATION
No waiting period
 

HEARING AID AND NECESSARY REPAIRS OR SUPPLIES
12-month waiting period

Up to $750 maximum per ear, per year
 

Note: Annual maximum is shared with policy maximum benefit