Eligibility
Ages 18-85
Policy Year Max Benefit
$1,000 or $1,500
(choose one)
Policy Year Deductible
$100 Per Person
Dental Coverage
| Preventive Services Semi-Annual exams, cleaning, and x-rays. | Year 1 - 60% Year 2 - 70% Year 3 and thereafter - 80% |
| Waiting Period | None |
| Basic Services Including preventative services, fillings and simple extractions (other than surgical extractions) | Year 1 - 60% Year 2 - 70% Year 3 and thereafter - 80% |
| Waiting Period | None |
| Major Services Including bridges, crowns, or partial dentures, full mouth extractions, and root canals | Year 1 - 0% Year 2 - 70% Year 3 and thereafter - 80% |
| Waiting Period | 12 Months |
Vision Coverage
| Basic eye exam, eye refraction, including the cost of eye glasses and contact lenses* | Year 1 - 60% Year 2 - 70% Year 3 and thereafter - 80% |
| Waiting Period | None |
Hearing Coverage
| Exam, hearing aid and necessary repairs or supplies | Year 1 - 60% Year 2 - 70% Year 3 and thereafter - 80% |
| Waiting Period | 12 months new hearing aids and existing hearing aid repairs |