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Dental Insurance
Informed Choice offers an attractive dental plan through Family Choicesm that
provides comprehensive dental coverage at budget-friendly, affordable group rates.
No provider restrictions. You enjoy the freedom to choose any dentist you want.
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Coinsurance Levels |
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Year 1 |
Year 2 |
Year 3 |
Preventive
Exams, cleanings, x-rays (bitewing), fluoride treatments |
100% |
100% |
100% |
Basic I
X-rays (intraoral), fillings, sealants |
50% |
80% |
80% |
Basic II
Endontontics, Minor Periodontics, Simple extractions, Minor restorations |
25% |
50% |
80% |
Major
Periodontic surgery, Complex oral surgery, Major restoration, Prosthodontics (fixed and removable) |
0 |
25% |
50% |
Complete details of covered services will be listed in the Certificate of Insurance you receive
upon enrollment. This is a summary of benefits only and is subject to the terms, conditions
and limitations of group policy #G-2255,826, Form #G-19000.
Underwritten by: The United States Life Insurance Company in the City of New York
For further information on this dental plan, including rates,
contact us
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