Benefit Structure. a. Maximums: $1,000 per person per policy year (January 1 - December 31) Orthodontia: $2,000 lifetime per person Preventive: Twice per policy year b. Deductible: Preventive: $0 Basic Benefits: $0 Major Services: $0 Orthodontia: $0 c. Co-Insurance*: Preventive: 100% UCR Basic Benefits: 50% UCR Major Services: 50% UCR Orthodontia: 65% UCR d. Description of Benefits:
Appears in 2 contracts
Sources: Collective Bargaining Agreement, Collective Bargaining Agreement