Dental Benefit Plan

Insurance Company First Administrators, Inc.
Annual Maximum Benefit $1,000 per participant per calendar year
Deductible Participant Pays
$50 per participant per calendar year

Preventive Benfits
(Routine Exams, Cleanings, X-Rays)

 Deductible Waived
$0

Basic Benefits
(Periodontics, Root Canals, Extractions, Fillings)

 Deductible, then 20%

Major Benefits
(Caps, Crowns, Dentures, Bridges)

 Deductible, then 50%
Providers See any dentist which means any duly licensed Doctor of Dental Surgery (DDS) or Doctor of Dental Medicine (DMD) practicing within the scope of the dental profession and any other physician furnishing any dental services which such physician is licensed to perform.
Last Modified: 02/16/2012 14:58:36 by content editor