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Two reimbursement levels, two premiums.
One Policy.
SELECT HIGH OR LOW PLAN
based on dental procedure reimbursement level.
Preventive/Basic/Major reimbursement options are:
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| High Plan |
100/80/50% UCR |
| Low Plan |
Scheduled OR
100% UCR/Scheduled/Scheduled |
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Employees may switch between the High and Low plan during annual enrollments as their needs change. |
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No employer money is required in a voluntary/pretax environment. |
| THESE OPTIONS MATCH
on both High and Low Plans: |
| Deductible |
$50 calendar year or higher (may be waived for Preventive), no family maximum |
| Maximum |
$1,500 calendar year or less |
| Orthodontia |
Up to 50% coinsurance and $1,500 lifetime maximum or less |
| X-Rays |
Preventive or Basic |
| Perio/Endo |
Basic or Major(periodontics / gum disease, endontics / root canals) |
Call Today
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In New York, products are sold through First
Ameritas Life Insurance Corp. of New York.
UCR (Usual, Customary, and Reasonable) - Benefits are paid according
to the UCR charges for the geographic area where the dental
service is performed. Available at the 90th, 85th, or 75th percentile.
Scheduled/Defined Benefit - Benefits are paid according to a
specific list of dental procedures and the corresponding dollar
amount set for each.
©2002. Ameritas Life Insurance Corp. Ameritas and the bison
are registered service marks, and The Dental and Eye Care Experts
is a service mark, of Ameritas Life. First Ameritas and First
Ameritas Life Insurance Corp. of New York are registered service
marks of First Ameritas. All are used with permission.
For broker use only. |
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