|
No
coverage option (please refer to your benefits booklet for further details)
|
80%
basic preventative to a max of $500 per plan year; major restorative and
child orthodontia - no coverage; exams 1 every 9 months (please refer to your
benefits booklet for further details)
|
90%
basic preventative to a max of $1,500 per plan year; major restorative and
child orthodontia - no coverage; exams 1 every 9 months (please refer to your
benefits booklet for further details)
|
100%
basic preventative and 50% major restorative with a combined max of $2,500
per plan year; 50% child orthodontia to a lifetime max of $2,500 ; 1 every 9
months exams (please refer to your benefits booklet for further details)
|
100%
basic preventative and 50% major restorative with a combined max of $5,000
per plan year; 60% child orthodontia to a lifetime max of $2,500 ; exams 1
every 6 months (please refer to your benefits booklet for further details)
|