Bronze

Examinations – Waiting Period according with payment plan

• Two times per calendar year 100% covered.
Scaling and Polishing
• One time per calendar year 100% covered.
• Fluoride
• One time per calender year 100% covered.
Radiographs (x-rays):
Bitewings coverage:
• 1 series per 12 month period for insured persons up to the age of 18 years 100% covered.
• 1 series per 24 month period for insured persons over 18 years 100% covered.
Full Mouth Panoramic x Ray
• Covered once per 12-month period 100%.

Emergency Treatment – NO WAITING PERIOD

• Once per 12 month period for the immediate, temporary relief of pain or infection 100% covered.
• Prescriptions two times per calendar year 100% covered.

Restorative Treatment

• 1 White filling per year 100% covered.

10% OFF most dental treatments*

*Excludes Orthodontic Treatments, Prosthetic Treatments and Dental Implants

No Annual Maximum use of 10% Discount

• There is no annual maximum usage of the 10% discount per member per year.
Patients can avail of the proposed discount as much as necessary through the year.

On the monthly payment option waiting period aplicable:

Scaling and Polish
• 3 months waiting period.
•Period between free scaling and polish procedures is 6 months.
Filling
• 6 months waiting period.
• Period between free fillings procedures is 6 months.