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Comprehensive Dental Plan,
brought to you by Denex Dental
The Comprehensive Dental Plan is an easy-to-use plan that offers fixed reimbursements for covered services. Simply visit any provider you choose, pay for services rendered, and submit a claim for your reimbursement.
Fully Insured Option Two: Evergreen Comprehensive Dental Plan
Valuable benefits to meet many of your dental needs.
- Includes all Evergreen Value Dental Plan discounts and covers many type II and III services.
- No balance billing when you see an in-network provider.
- Large network of over 56,000 providers.
- $50 individual deductible (does not apply to type I procedures).
- $1500 Annual Maximum.
- No waiting periods - employees can use their benefits immediately.
| Procedure |
% Covered |
| Type I |
| Exam |
100%* |
| Cleanings |
100%* |
| X-Rays |
100%* |
| Sealants |
100%* |
| Type II |
| Amalgam (silver) Fillings |
80%* |
| Composite Fillings |
80%* |
| Type III |
| Crowns and Bridges |
40%* |
| Dentures |
40%* |
| Extractions |
40%* |
| Oral Surgery |
40%* |
| Endontics (root canals) |
40%* |
| Periodontics (gum treatment) |
40%* |
| Type IV |
| Orthodontics |
Fee discount from in-network provider |
| NOTE: Members receive discounts for most services from in-network providers, regardless of benefit reimbursement percentage. |
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*Percentages are based on charge set forth in the Evergreen Dental Plan schedule of benefits. Percentages are not based on the provider's actual charge The Evergreen Dental Plan Schedule of Benefits will be made available to your benefits administrator.
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Maximize Your Savings
Comprehensive Plan members are still entitled to all Value Plan discounts. Should Comprehensive members choose to visit Value Plan network providers, they will generally receive 20-50% discounts off the provider's standard fees. This will typically reduce out-of-pocket expenses by saving money at the time of service, and still receiving scheduled reimbursements.
Questions
If you have any questions about the Comprehensive Plan, please call member services, toll-free, at 1-866-498-7901.
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