School Board of Alachua County
Dental Options

  Advantage Plus Overview
  Advantage Plus Schedule
  Advantage Plus FAQs

  Search for Providers

  Elite Preferred 505 w/ortho Overview
  Elite Preferred 505 w/ortho FAQs

  Search for Providers
  Claim Form

  Elite Preferred 610 Overview
  Elite Preferred 610 FAQs

  Search for Providers
  Claim Form

Vision Option
  Plan Overview
  LASIK Benefits
 
Dental/Vision Members
  MyCompBenefits
  Vision Certificate of Benefits
 
 
  Contact Information


Elite Preferred 610 Dental PPO Overview

The PPO plan offers a variety of benefits with set reimbursement amounts. You pay the provider for services at the time of your appointment. Claim payments are then made to you or your provider. The plan features:

bulletFreedom to choose any dentist
bulletQuick claims turnaround
bulletNational coverage


Type I - Diagnostic & Preventive Services Reimbursement
In
Network		 Out of Network*
  • Oral Exam
  • Prophylaxis
  • Topical Flouride
  • X-Rays
  • Sealants
  • Space Maintainers
     
    		•  100% 80%
    Type II - Basic Services Reimbursement
      In
    Network    		 Out of Network*
  • Simple Restorative
  • Periodontics
  • Emergency Palliative Treatment
  • Tooth Extraction
  • Endodontics
     
    		•  80%

    60%

    Type III - Major Services Reimbursement
    In
    Network    		 Out of Network*
  • Major Restorative
  • Bridge, Denture Repair
  • Prosthetics
     
    		•  0% 0%

         		    
    MAXIMUM BENEFITS    
      In
    Network    		 Out of Network*
    Lifetime
        Type I, II, III

    Calendar Year Maximum (per person)
       Type I, II, III

    Deductible per person; maximum 3 per family
       Type I
       Type II, III
     


    Unlimited
     

    $750
     

    None
    $50
    Unlimited
     

    $750
     

    None
    $50


    Exclusions
    and Limitations

    		 *Coverage based on contracted fees for the Preferred Provider Network.

    Certain exclusions and limitations apply.
     

    This schedule shows only a few of the covered procedures. Please see your Benefit Administrator for a complete schedule. This schedule is intended for comparison purposes only. The benefits for each plan will be determined by the contract. For a complete listing of benefits and exclusions and limitations, please reference your certificate of coverage.