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Dental

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Life/AD&D

Life/AD&D

High Meadows gives employees the option to elect a dental plan through Equitable. To search online for an in-network dentist you can go to Find a provider dental search | Equitable and search by zip code.

Value Dental Plan Highlights

In-Network Out of Network

Your Deductible Applies to basic and major services

Calendar Year Maximum

Applies to preventive, basic, and major services $50 individual / $150 Family $1,500 combined Innetwork and Out-ofNetwork $1,500 combined Innetwork and Out-ofNetwork

$50 individual / $150 Family

Preventive & Diagnostic Services

Exams, Cleanings & Bitewing X-Rays, Fluoride, Sealants, Space Maintainers 100% (Deductible waived) 100% (Deductible waived)

Basic Services

Filings, Extractions, Emergency Pain Treatment, Endodontics, Periodontics, Oral Surgery 80% After deductible 80% After deductible

Major Services

Crowns, Bridgework, Full & Partial Dentures, Implants 50% After deductible 50% After deductible

Orthodontics (Children to age 19)

How are claims paid?

50% to a Max $1000 50% to a Max $1000

Negotiated Fee Schedule 90th percentile of usual and customary

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