Sonic BlueSelect Voluntary Group Dental Benefits Summery
100%
Diagnostic and preventive services are paid at 100% with no waiting period, if services are received from a participating LINCS Dental Connection Network dentist. When covered treatment is performed by a non-participating dentist, the procedures are covered at 80 percent of allowable charges. No front-end deductible is required for diagnostic and preventive services.
80%
Primary restorative procedures (maintenance services, oral surgical services and periodontic services) are paid at 80 percent, after a *$50 deductible, if received from a participating in-network dentist. Coverage begins after a six-month waiting period. When covered treatment is performed by a non-participating dentist, the procedures are covered at 60 percent of allowable charges, after the *$50 deductible.
50%
Complex restorative procedures (complex restorative procedures, dentures, partials and bridges, denture adjustments, relining or rebasing and fixed bridge repairs) are paid at 50 percent, after a *$200 deductible, if received from a participating dentist. Coverage begins after a 12-month waiting period. When covered treatment is performed by a non-participating dentist, the procedures are covered at 30 percent of allowable charges, after the *$200 deductible.
This plan has an annual benefit maximum of $1,000.
*Per person, per benefit period.
This benefit summary does not contain a complete list of benefits, nor does it contain the list of exclusions and limitations.
CLICK HERE to see Health Program
PRESS HERE for Group Eligibility Forms and Individual Applications
QUESTIONS? Please feel free to fill out our inquiry form.