Main        About        News        Jobs        Members        Groups        Dentists        Contact       

  Jackson Memorial Hospital
  Dental Members
  ADP Dental Option
ADP Plan Overview
ADP Standard Plan Schedule
ADP Enriched Plan Schedule
ADP Questions and
Answers (FAQs)
ADP Standard Plan Providers
ADP Enriched Plan Providers
  OHS Dental Option
OHS Plan Overview
OHS Standard Plan Schedule
OHS Enriched Plan Schedule
OHS Questions and
Answers (FAQs)
OHS Standard Plan Providers
OHS Enriched Plan Providers
  Optix Vision Option
  Optix Plan Overview
  How It Works
  Optix Schedule
  Optix Lasik Information
  Optix Vision Directory
  Optix Certificate
  HIPAA Notice
 
  Resources
HIPAA Notice
Contact Information
 


ADP Standard Plan Schedule of Benefits1

The co-payments listed below are the maximum fees that will be charged by the Participating General Dentist for the specified covered services.

1Select a service below
 
Services
bulletAppointments
bulletDiagnostics
bulletX-Rays
bulletPreventive
bulletSpace Maintainers
bulletRestorative
bulletCrowns and Bridges
bulletEndodontics
bulletPeriodontics
bulletProsthodontics
bulletRepairs to Prosthetics
bulletExtractions
bulletOral Surgery
bulletAnesthesia
bulletAdjunctive General Service
bulletOrthodontics
 

 

Orthodontic Services
 
Procedure

Member
Pays
Initial consultation No Charge
 
(ADP benefits cover 25% of the fee per person Cases under treatment are eligible for benefits only at the discretion of the Participating Orthodontist.)


Exclusions and Limitations
All dental services and procedures performed by Participating Specialists are at usual fees less 25% were applicable.
 
*Surcharges apply only when treatment is performed at a participating dental office. If the services of a specialist are required, these surcharges do not apply.
 

 

 

Current Dental Terminology © 2004 American Dental Association. All rights reserved

 

To submit comments or questions, please visit our Contact Center.

© Copyright CompBenefits 2002.