Glossary of Terms
 
Getting Started My Costs My Benefits
My Dentist Claims Policies/Legal Enroll/Renew
 
My Benefits
     
 

Benefits summary
Emergency services
Specialist services
Benefits, limitations and exclusions
Description of benefits and copayments (Schedule A)
Limitations of benefits (Schedule B)
Benefits that are not covered (Schedule B)
Orthodontic limitations
Orthodontic exclusions

 
     
 
EMERGENCY SERVICES  
 
The Contract Dentist will provide Emergency Services for covered dental procedures whenever possible. If you require Emergency Services and are 35 miles or more from your Contract Dentist's facility, or you are unable to reach your Contract Dentist, you may seek treatment from a Dentist other than your assigned Contract Dentist. Benefits for emergency treatment provided by an out-of-network Dentist are subject to a $100.00 maximum per emergency, per Enrollee.

YOUR ASSIGNED CONTRACT DENTIST MUST PROVIDE EMERGENCY CARE FOR COVERED SERVICES IF YOU ARE WITHIN 35 MILES OF HIS OR HER FACILITY.
 
 
 
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