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Quality Dental Plan,
brought to you by Denex Dental
The Quality 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 One: Evergreen Quality Dental Plan
Increased benefits for preventive and diagnostic procedures.
- Includes all Evergreen Value Dental Plan discounts.
- 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).
- $1000 Annual Maximum.
- No waiting periods-employees can use their benefits immediately.
- Bilingual customer service representatives.
| Procedure |
% Covered |
| Type I |
| Exam |
100%* |
| Cleanings |
100%* |
| X-Rays |
100%* |
| Sealants |
100%* |
| Type II |
| Amalgam (silver) Fillings |
45%* |
| Composite Fillings |
45%* |
| Type III |
| Crowns and Bridges |
Fee discount from in-network provider |
| Dentures |
Fee discount from in-network provider |
| Extractions |
Fee discount from in-network provider |
| Oral Surgery |
Fee discount from in-network provider |
| Endontics (root canals) |
Fee discount from in-network provider |
| Periodontics (gum treatment) |
Fee discount from in-network provider |
| 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
Quality Plan members are still entitled to all Value Plan discounts. Should Quality 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 Quality Plan, please call member services, toll-free, at 1-866-498-7901.
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