Dental coverage

Smile…..

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What is covered?100% coverage for Preventive Cleanings Xrays Exams Sealants through age 13

Paid at Lewiston rates. There could be some balance billing for some dentists.

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What is covered?80% coverage for Restorative Fillings Root canals Scaling Oral surgery

Paid at Lewiston rates. There could be some balance billing for some dentists.

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What is covered?60% coverage for Major Restorative Bridges Crowns Dentures

Paid at Lewiston rates. There could be some balance billing for some dentists.

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What is covered?

50% coverage for Orthodontics Subject to $1000 lifetime maximum Available for children Available for adults

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MiscellaneousOther features of the dental plan: Deductible applies to Restorative and Major

Restorative levels ($25/individual and $75/family)

No dental network… so go to any dentist If you can’t find a dentist, you might call

Community Dental at 874-1025 or visit them at www.communitydental.com

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