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· NO DENTAL NETWORKS - GO TO ANY DENTAL PROVIDER
· NO PRE-DETERMINATION OF BENEFITS
· ORTHODONTICS FOR CHILDREN AND ADULTS
· TWO OPTIONS TO CHOOSE FROM, GOLD AND PLATINUM
· NO MINIMUM PARTICIPATION REQUIREMENTS
· NO SERVICE WAITING PERIOD FOR PREVENTIVE CARE
First $50.00 is applied to the deductible, 3 per family
Level 1 - 90% of the next $700.00 of dental expenses
Level 2 - 60% of dental expenses up to a maximum benefit of $1,000
*Service Waiting Periods: 3 months on Basic, 6 months on Major, 12 months for Orthodontics. Service waiting periods waived if the employer pays 100% of employee premiums
Basic: Fillings and Sealants, Extractions (Simple), Space Maintainers
Major: Crowns, Bridges, Dentures, Root Canals, Perio Surgery, and Oral Surgery
Monthly rates:
| 4-Tier | Employee | $30.00 |
| Employee + 1 | $52.50 |
| Employee + 2 | $73.00 |
| Family | $91.00 |
Level 1 - First $50.00 of expenses is applied to the deductible, 3 per family
Level 2 - 50% of dental expenses up to a maximum benefit of $1,000
*Service waiting Periods: 3 months on Basic, 6 months on Major, 12 months for Orthodontics. Service waiting periods waived if the employer pays 100% of employee premiums
Basic: Fillings and Sealants, Extractions (Simple), Space Maintainers
Major: Crowns, Bridges, Dentures, Root Canals, Perio Surgery, and Oral Surgery
Monthly rates:
| 4-Tier | Employee | $24.50 |
| Employee + 1 | $41.50 |
| Employee + 2 | $58.50 |
| Family | $75.00 |
*Service waiting period begins with your effective date of coverage.
| Send Claims to: | Meritain Health |
| P.O. Box 27267 |
| Minneapolis, MN 55427-0267 |
| Benefit/Claim Customer Service: 800.925.2272 |
FOR MORE INFORMATION CONTACT SARAH LUECKENHOFF AT MADA:
Ph.: (573) 634-3011 extension 172 or email: slueckenhoff@mada.com. Visit our website www.mada.com.
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