Summary of Benefits

Dental Benefit Summary

Group ID: 00557668
Coverage Type: Contributory
Group Name: CITY OF OAKWOOD
Class: 0001 ALL ELIGIBLE EMPLOYEES
Waiting Period: None

Plan Information

Your dental networks is: Dental - DentalGuard Pref NAP - Ohio

Coverage Information

What's the most cost-effective way to use dental insurance? You may go to any dentist, however those who belong to the Dental - DentalGuard Pref NAP - Ohio network will be most cost effective.
In Network Out of Network
Calendar year deductible Out of Network is a combined deductible for in and out of network services. $75, Once the annual deductible is met by each of three family members, no further deductibles apply.
Preventive Waived
Basic Not Waived
Major Not Waived
Calendar Year Maximum Benefit The amount shown in the out of network field is your combined Calendar Year maximum for both in and out of network services. $3,000
Lifetime Orthodontia Maximum The amount shown in the out of network field is your combined Lifetime Orthodontia Maximum for both in and out of network services. $1,500
Maximum rollover Yes Yes
Monthly Switch Not Available Not Available
How much does the plan pay? How much does the plan pay?