Some of the Important Benefits Included in Our Pinnacle Flex-Elite Series:
Overview of Benefits.
Service
In and Out of Network
Preventive: Routine exams, cleaning, fluoride and x-rays
100% of Contracted Fee
No waiting period
Basic: Fillings, oral surgery, and endodontics
90% of Contracted Fee
No waiting period
Major: Crowns, bridges, dentures, and periodontics
60% of Contracted Fee
12 Month Initial Waiting Period (subject to takeover credit) 1
Deductibles:
$100 Lifetime Deductible (all services)
OR $50 per person / $150 per family
Orthodontics:Children under 19
50% of Contracted Fee
(up to $1200)
12 Month Initial Waiting Period (subject to takeover credit)1
Orthodontics:Adults (19 years & over)
Contracted Ortho Fee (in network)
(Approx. 25% Discount)
Specialists:
20% Discount off the Specialist’s regular fee (in-network)
Plan pays according to generalist fee schedule
Patient pays the amount exceeding the plan payment 2
Maximum Benefit:
$1500
1 If you have had previous comparable, credible dental coverage, credit will be given toward any required waiting periods. Please refer to the plan informational booklet for details.
2 See the Generalist’s Schedule of Procedure Fees for the amount the plan is responsible to pay for each covered procedure.
Contracted Fee- This term is the negotiated and exclusive rate that has been agreed to by Dentist Direct Dental Plans and participating In-Network dentists. The contracted fee for every procedure covered by the Plan is disclosed in the Schedule of Procedure Fees.
To Obtain a Quote: Call 1-866-MY-MOLAR (1-866-696-6527)
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