|
| YOUR CHOICES |
PLAN A |
PLAN B |
Class I - Preventive Services
Benefit Percentage/Coinsurance (RLHICA Pays) |
100% |
50% |
Class II - Basic Services
Benefit Percentage/Coinsurance (RLHICA Pays) |
75% |
50% |
Class III - Major Services
Benefit Percentage/Coinsurance (RLHICA Pays) |
50% |
50% |
Class IV - Orthodontia Services
Benefit Percentage/Coinsurance (RLHICA Pays) |
50% |
50% |
| Annual Maximum Benefits for All Covered Services/Expenses |
$1250 |
$1250 |
| Lifetime Maximum for Orthodontia |
$1250 |
$1000 |
| View Complete Benefits Program |
View Benefits |
View Benefits |
|
| In addition to quality dental coverage, every enrollee can receive special discounts designed to save |
| money on Vision, Hearing and Pharmacy services, along with international access to dentists. |
|
|
|
