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Dental Plan
The Fund has a Traditional Fee-for-Service Plan.If you elect to cover any dependents, your dependents will be enrolled in the traditional fee-for-service plan.
|  | Traditional "Fee-for-Service" Dental Plan (Plan) With this plan you may visit any dentist. You are not required to go to one specific dental office.Plan Benefits There is no deductible to meet. The Plan will pay up to $1500 of eligible dental procedures per eligible person each calendar year excluding orthodontia.
Diagnostic and preventive services such as exams, cleanings, and bitewing x-rays - the Plan pays at 100% of the scheduled fees.
Basic services, such as fillings and root canals - the Plan pays at 80% of the scheduled fees.
Special services, such as crowns and partials, - the Plan pays at 50% of the scheduled fees.
Orthodontic treatment - the Plan pays at 50% of covered charges, up to a lifetime maximum of $1000 per person provided you are not in a treatment plan prior to your eligibility date with the Fund.Processing Plan Benefits You must submit a claim to the Fund Office in order to receive your benefits. If you also participate in the Health Care Flexible Spending Account, you can facilitate the FSA paperwork by coordinating it with your Plan benefits. All of the necessary forms are located on the Forms page. Contact us if you have any questions. |  | More Info All of the Plan benefits are described in more detail in the Summary Plan Description effective January 1, 2005. |  |
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