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Dental Plan
The Fund has a Traditional Fee-for-Service Plan.If you elect to cover any dependents, your dependents will be enrolled in the traditional fee-for-service plan.
|  | | 2010 Dental Brochure Download a copy of this brochure by clicking on our Documents link shown on the left side of our webpage. | | | Traditional "Fee-for-Service" Dental Plan (Plan) With this plan you may visit any dentist. You are not required to go to one specific dental office. Deductible: $50 per person per calendar year
The Plan will pay up to $1500 of eligible dental procedures per eligible person each calendar year excluding orthodontia.
Diagnostic and preventive services such as exams, cleanings, and bitewing x-rays - the Plan pays at 100% of the scheduled fees.
Basic services, such as fillings and root canals - the Plan pays at 80% of the scheduled fees.
Special services, such as crowns and partials, - the Plan pays at 50% of the scheduled fees.
Orthodontic treatment - the Plan pays at 50% of covered charges, up to a lifetime maximum of $1000 per person provided you are not in a treatment plan prior to your eligibility date with the Fund. | |
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Summary Plan Description