Dental coverage
Smile…..
1
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.
2
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.
3
What is covered?
60% coverage for Major Restorative



Bridges
Crowns
Dentures
Paid at Lewiston rates. There could be some
balance billing for some dentists.
4
What is covered?
50% coverage for Orthodontics



Subject to $1000 lifetime maximum
Available for children
Available for adults
5
Miscellaneous
Other 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
6