HealthChoice Small Business

Class I - Preventive (exams, x-rays,)

95%†

Class I - Preventive (cleanings, fluoride)

100%†

Class II - Basic (fillings, repairs, etc.)

70%†

Class III - Major (root canals, oral surgery, etc)

65%†

Class III - Major (bridges, dentures, etc)

65%†

Class IV - Specialty Care (oral surgery, endodontics, periodontics, pedodontics)

35%

Deductible

None

Office Visit Copay

$10

Primary Care Maximum

Unlimited

Specialty Care Maximum

$1,000

Orthodontic Maximum (Lifetime, comprehensive cases only)

$1,800 benefit up to age 19

Orthodontic Maximum (Lifetime, comprehensive cases only)

$1,200 benefit ages 19+