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

  
     
 
BENEFITS, LIMITATIONS AND EXCLUSIONS  
 
This Program provides the Benefits described in Schedule A subject to the Limitations and Exclusions described in Schedule B. The services are performed as needed and deemed necessary by your attending Contract Dentist.
 
 
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