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Dental Benefit Plan

Insurance Company Delta Dental of Iowa
Annual Maximum Benefit $1,300 per participant per calendar year
Deductible Participant Pays
$50 per participant per calendar year

Preventive Benefits
(Routine Exams, Cleanings, X-Rays)

 Deductible Waived
$0

Basic Benefits
(Periodontics, Root Canals, Extractions, Fillings)

 Deductible, then 20%

Major Benefits
(Caps, Crowns, Dentures, Bridges)

 Deductible, then 50%

Providers

 Participants have access to Delta Dental's Premier and POS Network Providers - although they may obtain services from non-network providers.
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