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Highlights

Current coverage

Annual deductible $50 per person
$100 per family
Preventive services, restorative services, endodontics, periodontics and major surgery
reimbursed at:
100%, checkups once every 6 months
Major restorative services reimbursed at: 50%
Orthodontic services reimbursed at: 50%
Maximum reimbursement $1,750 per covered individual, for all services (except orthodontics) rendered in a benefit year

$2,500 per covered individual, for all orthodontic services rendered in a lifetime

Please refer to the Eligible expenses section for a list of various covered expenses under each type of service as well as the Exclusions and limitations section.

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