Common use of Dental Care Benefits Clause in Contracts

Dental Care Benefits. The Board shall make available to teachers a dental care plan with benefits (subject to usual and reasonable charges) summarized as follows: Diagnostic (No Deductible) 100% X-rays and exams every six months and full mouth x-rays every two years Preventive (No Deductible) 100% Cleaning every six months, fluoride treatments, and sealants (to age 14) Minor Restorative 80/20 Fillings, including posterior composite based fillings Oral Surgery 80/20 Extractions and pre/post care Endodontics 80/20 Pulp and root canal work Periodontics 80/20 Gums and supporting structures Denture Repair 80/20 Major Restorative 80/20 Prosthodontics (Dentures) 80/20 General Anesthesia (includes additional) 80/20 Covered when used in conjunction with covered oral surgical procedures Gold Fillings 80/20 Injectable Antibiotics 80/20 Deductible (per person per calendar year) $25.00 Payment (District) 100% Maximum coverage per person per calendar year shall be $2,000. (Does not include orthodontics reimbursement.) The District shall provide the above benefits for the spouse and dependents of any teacher. The District shall provide orthodontic benefits under the guidelines outlined below. • Reimbursement is limited to procedures performed on dependents prior to their 19th birthday. • Reimbursement is limited to 50% of the total eligible expense with life time maximum of $2,000 per covered dependent. • Orthodontic claims must be submitted to the dental administrator within 6 months from the date of the claim. This 6-month deadline would also apply if this benefit is terminated July 1, 2021, meaning a claim incurred on June 30, 2021, may still be submitted and considered for payment until December 30, 2021.

Dental Care Benefits. The Board shall make available to teachers a dental care plan with benefits (subject to usual and reasonable charges) summarized as follows: Diagnostic (No Deductible) 100% X-rays and exams every six months and full mouth x-rays every two years Preventive (No Deductible) 100% Cleaning every six months, fluoride treatments, and sealants (to age 14) Minor Restorative 80/20 Fillings, including posterior composite based fillings Oral Surgery 80/20 Extractions and pre/post care Endodontics 80/20 Pulp and root canal work Periodontics 80/20 Gums and supporting structures Denture Repair 80/20 Major Restorative 80/20 Prosthodontics (Dentures) 80/20 General Anesthesia (includes additional) 80/20 Covered when used in conjunction with covered oral surgical procedures Gold Fillings 80/20 Injectable Antibiotics 80/20 Deductible (per person per calendar year) $25.00 Payment (District) 100% Maximum coverage per person per calendar year shall be $2,000. (Does not include orthodontics reimbursement.) The District shall provide the above benefits for the spouse and dependents of any teacher. The District shall provide orthodontic benefits under the guidelines outlined below. •  Reimbursement is limited to procedures performed on dependents prior to their 19th birthday. •  Reimbursement is limited to 50% of the total eligible expense with life time maximum of $2,000 per covered dependent. •  Orthodontic claims must be submitted to the dental administrator within 6 months from the date of the claim. This 6-month deadline would also apply if this benefit is terminated July 1, 2021, meaning a claim incurred on June 30, 2021, may still be submitted and considered for payment until December 30, 2021.