Gold

Examinations – Waiting Period according with payment plan

Exam
• Three times per calendar year 100% covered.
Scaling and Polishing
• Two times per calendar year 100% covered.
• Fluoride
•Two times 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

• Twice 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

• 2 White fillings per year 100% covered.

20% OFF most dental treatments* Including ORTHODONTICS

*This discount does not apply to Prosthetic Treatments.

No Annual Maximum use of 20% Discount

• There is no annual maximum usage of the 20% 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.