Dental Benefits
In-Network |
|
|---|---|
Deductible (Individual/Family) |
$50/$150 |
Calendar Year Maximum Benefit |
$1,500 |
Diagnostic and Preventive |
100% |
Basic |
80% |
Major |
50% |
Per Pay Period Cost |
|
|---|---|
Employee |
$14.79 |
Employee + Spouse |
$29.59 |
Employee + Child(ren) |
$31.02 |
Family |
$47.98 |
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