Dental Insurance

Summary of Benefits

Preventative Services - Class A

*Begins upon approval of your application
Pays 100% - UCR (Usual, Customary and Reasonable)

Includes... ***Oral exams ***Cleanings ***Fluoride (Child to age 16).

Basic Services - Class B

Pays 80% - UCR

***X-rays ***Fillings ***Simple extractions
*6 Month Waiting Period on Basic Services

Major Services - Class C

Pays 50% - UCR

***Endodontics ***Oral Surgery ***Periodontics
*12 Month Waiting Period on Major Services

Major Services - Class D

Pays 50% - UCR

***Crowns ***Bridges ***Dentures
*24 Month Waiting Period on Major Services

Orthodontia
No benefits for orthodontia

We also represent and endorse the following company for individual/family dental coverage.

Delta Dental
Dental and Vision Coverage in
ONE program

Deductibles

* $50 calendar year

* $35 lifetime - Class A

Locate Premier Providers at www.deltadentalins.com

Monthly Premier Rates

Adult Member    $53.03
Member plus One   $98.66
Family    $144.29

Your Deductible	Plan Pays 1st Year	Plan Pays 2nd Year	Plan Pays 3rd Year	Services Covered
$50 per person per calendar year	Pays 80%	Pays 90%	Pays 100%	Diagnostic and Preventative Procedures
				Includes... Oral exams Cleanings *Bitewing and full mouth x-rays
	Pays 60%	Pays 70%	Pays 80%	Basic Procedures
				Fillings Space maintainers, recementation of crowns *6 Month Waiting Period
	Pays 0%	Pays 40%	Pays 50%	Major Procedures
				Endodontics Oral Surgery Periodontics Crowns Bridges Dentures *12 Month Waiting Period
$100 lifetime	Pays 0%	Pays 40%	Pays 50%	Orthodontia Procedures
				$350 year maximum $1000 lifetime max per person for this benefit Ortho benefits only available for eligible dependent children 12 Month Waiting Period

Feel free to use our "info form" - submit online for a free quote.

(775) 423-7056 - Phone

(775) 423-0266 - Fax

(800) 531-6412 - Toll Free