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Plan A offers the highest level of dental coverage. This plan stresses preventive care to help you and your family avoid serious dental problems. The plan pays 100% of the covered cost (reasonable and customary charges) of preventive and basic services. It also pays 80% of the covered cost (reasonable and customary charges) of major services and orthodontia care. The maximum benefit you can receive under this plan each year is $2,000 per person. Orthodontia care carries a separate $2,000 per person lifetime maximum.<\/p>\n
Plan A also includes a Preferred Provider Organization (PPO) feature, which gives you the option of receiving care from PPO participating dental care providers and paying less out-of-pocket.<\/p>\n
Participating dentists agree to charge negotiated rates. These rates are typically lower than the rates charged by non-participating dentists. This means that when you visit a participating dentist, your out-of-pocket costs may be less. Remember, when you visit a non-participating dentist, you are responsible for a percentage of the reasonable and customary charges. In addition, you pay any amount above the reasonable and customary limit. Here’s an example of how you might save money using a participating dentist compared to a non-participating dentist.<\/p>\n
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Here’s an Example<\/strong> [\/et_pb_text][et_pb_text admin_label=”table ex1″ _builder_version=”4.25.2″ _module_preset=”default” global_colors_info=”{}”]<\/p>\n
Let’s assume you need a major procedure that’s covered at 80%:<\/p>\n