Major Dental Program Clause Samples
Major Dental Program. The dental plan will be changed to a managed care dental enhanced PPO plan. The preferred provider dental plan includes a network of dental providers available to employees and their dependents. Plan members can elect to receive dental services from network or non- network providers. The plan pays a percentage of allowable charges based on either a negotiated fee or a reasonable or customary fee. The plan allows for a 100% reimbursement of allowable charges for covered preventative services that are received once every six months when using in network dentists. Other covered services are subject to a single-family deductible of $100/$200 with 80% coverage thereafter for most services, and a maximum annual plan payment of $2,000 per person. Orthodontic services are covered at 60% with a separate lifetime maximum of $1,500 per person. Final selection of the provider shall involve consultation with ▇▇▇. Effective September 1, 2010 employees will pay 2% of the Board’s single and family (as applicable) premium cost for participation in the dental program. Preventive services for dental are received twice in any period of 12 consecutive months.
Major Dental Program. The City shall continue to provide a major dental program that provides the following: Type A Services: Preventative 100% Type B Services: Major and minor restorative 80% Type C Services: Orthodontia 60% Deductible for Type B Services is $50.00 per person per year with maximum payment of $1,300.00 per year. Maximum lifetime benefit for Type C Services for any covered person $1,300.00. Coverage limited to dependent children under age 19. This program shall continue in effect for the duration of this agreement.