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The "American Denticare" Individual Plan

We are very pleased to offer an association group dental plan that may be purchased individually. You may use this web site to review benefits, request a rate quote, join the association and enroll for coverage or simply request additional information and enrollment package.

INDIVIDUAL DENTAL PLAN 107

Type of Service	Calendar Year Deductible	Percentage paid by Plan	Calendar Year Maximum Benefit		Waiting Period
PREVENTIVE - Exams, X-Rays, Prophylaxis (Cleanings), Flouride, Sealants, Space Maintainers	$0.00	100%	$1000.00		3 months
BASIC - Restorative Fillings, Denture and Bridge Repair, Tissue Conditioning, Non-Surgical Extractions, Anesthesia in connection with covered procedures	$50.00	80%			6 months
MAJOR - Crowns, Inlays, Onlays,Installation of Bridges and Crowns,Endodontics, Root Canals, Peridontics,Gum Disease Therapy, Oral Surgery	$50.00	50%			12 months
OPTIONAL
ORTHODONTIA - Braces (optional)	None	50%	$500 Annual Maximum	$1,000 Lifetime Maximum	24 months

Receive an Instant dental quote by completing this form
ALL FIELDS ARE REQUIRED:

Plan 107

Type of Coverage Desired:
Do you desire the Orthodontia Benefit?

Your residence state:
Your residence zip code:

INDIVIDUAL DENTAL PLAN 108

Type of Service	Calendar Year Deductible	Percentage paid by Plan	Calendar Year Maximum Benefit		Waiting Period
PREVENTIVE - Exams, X-Rays, Prophylaxis (Cleanings), Flouride, Sealants, Space Maintainers	$0.00	100%	$1500.00		3 months
BASIC - Restorative Fillings, Denture and Bridge Repair, Tissue Conditioning, Non-Surgical Extractions, Anesthesia in connection with covered procedures	$50.00	80%			6 months
MAJOR - Crowns, Inlays, Onlays,Installation of Bridges and Crowns,Endodontics, Root Canals, Peridontics,Gum Disease Therapy, Oral Surgery	$50.00	50%			12 months
OPTIONAL
ORTHODONTIA - Braces (optional)	None	50%	$500 Annual Maximum	$1,000 Lifetime Maximum	24 months

Receive an instant dental quote by completing this form
ALL FIELDS ARE REQUIRED:

Plan 108

Type of Coverage Desired:
Do you desire the Orthodontia Benefit?
Your residence state:
Your residence zip code:

SPECIAL NOTES: Benefit percentages are paid based on a usual and customary fee schedule. The fee schedule has been calculated in a method that will pay full percentage of approved charges at a high majority of dental offices. If you are concerned about this you may ORDER A COPY OF THE FEE SCHEDULE to determine that this coverage is right for you, follow the link to Request Information.

DISCLAIMER: This is only intended to be a brief summary of certain benefits available within the dental program. IT IS NOT INTENDED TO BE A POLICY, A CERTIFICATE OF INSURANCE, OR A SUMMARY PLAN DESCRIPTION. There are many provisions, limitations, and exclusions that will affect coverage. We will be happy to provide a sample policy for your review, follow the link to Request Information.

Telephone Contact: 877-537-6453

E-Mail Contact: marketing@aiba.com