Dental Fee Schedule insurance

A significant step toward better dental health

Fee Schedule dental insurance covers a wide range of treatments and provides a fixed benefit amount for covered dental procedures, making it a great fit for individuals and families. Orthodontic and vision coverage may be available as optional riders.

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Our dental plans provide more than 400 covered dental benefits. You can access the full listing of dental codes and benefits available for your plan below.

There are four plan levels for the dental product. Choose the plan level that is noted on your dental product brochure or in your enrollment communications

Benefits Plan Design Level 1

Dental Full Schedule of Benefits Plan Design Level 1

Benefits Plan Design Level 2

Dental Full Schedule of Benefits Plan Design Level 2

Benefits Plan Design Level 3

Dental Full Schedule of Benefits Plan Design Level 3

Benefits Plan Design Level 4

Dental Full Schedule of Benefits Plan Design Level 4

Orthodontic and Vision Riders

Orthodontic and Vision Riders

This policy provides DENTAL insurance only. The expected benefit ratio for this policy is 55 percent. This ratio is the portion of future premiums that the company expects to return as benefits, when averaged over all people with this policy.

Benefit amounts are for illustrative purposes only. Dental Full Schedule of Benefits Plan Design document is not an insurance contract and only the actual policy provisions will control. To obtain a complete description of benefits, limitations and exclusions, please refer to the policy or see your benefits counselor.

This information is not intended to be a complete description of the insurance coverage available. The policy or its provisions may vary or be unavailable in some states. The policy has exclusions and limitations which may affect any benefits payable. Applicable to policy form Dental-NY and rider form R-Vision-NY. For cost and complete details of coverage, call or write your benefits counselor or the company.

Underwritten by The Paul Revere Life Insurance Company, Worcester, MA.

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Get started on managing your dental benefit today by visiting our dental management system.

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