Aetna ExpressLaneSM - Dental Plans - Dental PPO Plan - FEDVIP

Dental PPO Plan - FEDVIP

$3000 in-network / $2000 out-of-network annual maximum
Visit any licensed dentist, anywhere worldwide without a referral
for covered services
Coverage for routine preventive care, major services, and orthodontia.
Discounts on electric toothbrushes, vision services, gyms, massage and more!

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Your Dental Benefits:

Annual Deductible	$0

Annual Benefit Maximum (per member)	In network: $3000 Out of network: $2000

Class A - Diagnostic & Preventive Services (like cleanings and X-rays)	We pay 100%*

Class B - Minor Restorative Services (like fillings and simple extractions)	We pay 60%*

Class C - Major Services (like crowns, root canal and dentures)	We pay 40%*

Braces**	We pay 30%*

Braces Lifetime Maximum (per member)	$1,500

* If you use an out-of-network dentist, you are responsible for the difference between our Plan allowance and the dentist's charges. ** Covered after continuous enrollment in Plan for 24 months. Available for children up to age 19.