Healthy Kids Dental Plan

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HOW THE PLAN WORKS

Your dental plan is designed to help you and your family get the dental care you need by offering preventive care and restorative dental treatments. Your plan covers cleanings, fluoride, exams, oral hygiene instruction, and x-rays every six months. The plan covers, as necessary, space maintainers, tooth extraction, root canals, treatment for gum disease, fillings and crowns. The complete list of covered dental care services are listed in the Schedule of Benefits. Procedures not listed on the Schedule of Benefits that are performed by your selected participating dentist may be charged at that provider's usual and customary fee. You can ask your participating dentist for a benefit determination and cost estimate before you receive any dental treatment. To find out what is covered, refer to your Schedule of Benefits.

This Handbook contains a description of covered services and benefits as well as copayments, limitations and exclusions. There is a helpful glossary located in the appendix of this handbook that gives definitions of words found in this Handbook that may be unfamiliar related to dental services, administration and benefits offered by the plan.
 


 


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