|Enrollment Deadline||18th of month Prior to Effective date|
|Issue Age||18 to any age|
|Example||Family of 5 gets $15,000|
in annual dental benefits
|Provider Lookup (Classic Network)||http://plusnetwork.fcldental.com/|
|Annual Max||$3,000 per person|
$25 co-pay per visit
|Guaranteedd Acceptance||No Age limit restrictionNo Age limit restriction|
On your activation date, you have access to the full range of dental benefits Type 1, 2
|Preventive Services||COVERAGE 100%|
Includes exams, cleanings, bitewing x-rays, and fluride treaments.
|Basic Services||COVERAGE 80%|
Includes filings, full mouth x-rays, sealants, restorative amalgams & composites, simple tooth extractions.
(Services with 12 month waiting period)
Includes oral surgery, endodontics,
all periodontics, dentures, crowns,
bridges, complex extractions, anesthesia, onlays and implants.
*12 month waiting period on Type 3 services