Download Dental Basic Plan

Dental Basic Plan
For families
Y
our oral health is an important part of overall health maintenance.
In fact, keeping your mouth healthy helps to keep your whole body
healthy and can actually reduce your risk for more serious problems.
Did you know that more than 120 medical conditions can be detected in
early stages by your dentist?
For adults and dependent children 19 and older.
In-Network
Out-of-Network
Annual Maximum
$1,000
Annual Deductible
You pay the first $50 for an individual,
$150 per family.
Applies to basic and major services in or out-of-network
Diagnostic & Preventive Services
Routine oral exam, cleanings, x-rays
Basic Services
Fillings, anterior & posterior composites, anesthesia
(general or IV sedation), emergency palliative treatment
Major Services
Crowns, inlays, onlays, fixed bridges, complete & partial
dentures, implants, oral surgery, periodontics and
endodontics
You pay 0%
You pay 30%
You pay 50%
You pay 70%
You pay 70%
No waiting period
applies.
Not covered.
Satisfies the ACA pediatric dental requirement for children up to age 19.
In-Network
Out-of-Pocket Maximum
Annual Deductible
Applies to preventive, basic and major services in or out-ofnetwork
Diagnostic & Preventive Services
Routine oral exam, cleanings, fluoride treatment, x-rays,
sealants, space maintainers, palliative treatment
Basic Services
Amalgam fillings and resin-based composites, oral surgery,
minor endodontics, minor periodontics
Out-of-Network
$1,000 per child
You pay the first $50
You pay the first $100
You pay 0%
You pay 40%
You pay 30%
PYou pay 60%
You pay 50%
You pay 80%
You pay 50%
24 month waiting
period applies.
You pay 50%
24 month waiting
period applies.
Major Services
Anesthesia (general or IV sedation), crowns, inlays, onlays,
complete and partial dentures, implants, major endodontics,
major periodontics
Orthodontic Services (Medically necessary.)
Diagnosis and treatment for repair of cleft palate, severe
craniofacial defects or injury or medically necessary condition
impacting function of speech, swallowing or chewing
Dental Basic Plan
EST Life has been providing great dental
B
benefits for more than 42 years with quality plans,
affordable rates and superior customer service.
When you choose a BEST Life BESTOne plan, you
can rest easy. Your smiles are safe with us.
More Choice. More Savings.
What dentist you see is completely up to you. But you can see additional
savings when you see a dentist within the DenteMax network. Your
17701 Mitchell North
annual deductible is only $50 for an individual and just $150 for the
Irvine, CA. 92614-6028
family. Children 18 and younger have only $50 deductible when you
p 800.433.0088
www.bestlife.com
© 2014 BEST Life and Health Insurance Company
see a network dentist.
The DenteMax Network
The DenteMax Network is one of the largest networks in the country and
provides access to more than 87,000 locations nationwide. DenteMax
has rigorous credentialing criteria for their providers, so when you
choose a DenteMax dentist, you’re assured one of the highest-quality
PPO networks available.