Edge Plus Plan A
 

BENEFIT STRUCTURE	1ST YEAR	2ND YEAR	THEREAFTER
Type 1 -Preventive/Diagnostic    Fluoride Treatments, X-rays, Cleanings, Periodic Exams Deductible Company Pays	0  100%	0  100%	0  100%
Type II - Restorative Extractions, Fillings, Oral Surgery, Root Canals Deductible Company Pays	$50  80%	$50  80%	$50  80%
Type III - Major Restorative Bridges, Crowns, Dentures, Partials Deductible Company Pays	Not Covered	$50  50%	$50  50%
Maximum Benefit Year Type I, II, and III	$1000	$1000	$1500
Type IV - Orthodontia Benefits Deductible Company Pays	Not Covered	Not Covered	$50 Life Time  50%
Life Time Benefits Orthodonia Benefits	N/A	N/A	N/A

 
 
 
 
 
 

BENEFIT STRUCTURE	1ST YEAR	2ND YEAR	THEREAFTER
Type 1 -Preventive/Diagnostic    Fluoride Treatments, X-rays, Cleanings, Periodic Exams Deductible Company Pays	0 100%	0  100%	0  100%
Type II - Restorative Extractions, Fillings, Oral Surgery, Root Canals Deductible Company Pays	$50  60%	$50  60%	$50  60%
Type III - Major Restorative Bridges, Crowns, Dentures, Partials Deductible Company Pays	Not Covered	$50  40%	$50  40%
Maximum Benefit Year Type I, II, and III	$500	$750	$1000

 
 
 

BENEFIT STRUCTURE	ANNUALLY
Type 1 -Preventive/Diagnostic    Fluoride Treatments, X-rays, Cleanings, Periodic Exams Deductible Company Pays	$25  80%
Type II - Restorative Extractions, Fillings, Oral Surgery, Root Canals Deductible Company Pays	$50  70%
Type III - Major Restorative Bridges, Crowns, Dentures, Partials Deductible Company Pays	Not Covered
Maximum Benefit Year Type I, II, and III	$1000