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Why The
Preferred Dental Plan?
- Choose Your Own Dentist.
- A Dental Plan with a $100 Lifetime Deductible on ortho
- Keep your Dental Plan regardless of Your Age
- Ortho Benefits Included at No Extra Charge
- Benefits Increase for the First Two Years
- No Questions about your Past Dental History
- Annual Maximum of $1200.
Dental Care
Description:
Type 1 Preventative Care and Diagnostic Care
- Clean and Oral Examination
- Once in any 6 month period
- Topical fluoride to age 19 once in a 12 month period
- Bitewings x-rays once each policy year.
- Full mouth x-rays once every 3 years
- Sealant application to posteria
permanent tooth once in a 36
month period.
Type
2 Basic Care* (6 month waiting period)
- Restorative Services (fillings)
- Extractions
- Oral Surgery
- Related anesthesia Treatment
- Prescription for control of pain
- Space maintainer
Type 3 Major Care*
(12 month waiting period)
- (A) Endodontic Procedures and Periodonic Services
- (B) Prosthodontics, Inlays, Crowns and Post, Dentures &
Bridges. (For enrollees of age 65 or
older this benifet is limited to $600 per
person per year.)
- (C) Periodontics Treatment of Gum Diseases
Type 4 Orthodontia Procedures* (12 month
waiting period)
- $350 benifet per year
- $1000 lifetime max per person for this benifet
- This benifet applies to covered dependents up to age
19(except for age 21 in Louisiana and age 25 in Texas.)
|
How the Plan Pays |
| $50 per person per calendar yr for types 1,2
and 3 |
Year |
Type 4 -One- Time $100
Deductible
per Insured's Life Time |
1 |
2 |
3 |
| Type 1 - Preventative and Diagnostic Care |
80% |
90% |
100% |
| Type 2 - Basic Care |
60% |
70% |
80% |
| Type 3 - Major Care |
0% |
40% |
50% |
| Type 4 - Orthodontia Procedures |
0% |
40% |
50% |
Schedule
of Monthly
Premiums |
Member |
Member
&
One |
Member
&
Family |
| $40.95 |
$77.65 |
$107.50 |
| Rates apply to: AL, MS |
|
$45.15 |
$85.50 |
$123.00 |
| Rates apply to:FL(EXCEPT 320-322,330-334,340-349)
TX(EXCEPT
770-777) LA(EXCEPT 710-714)
|
|
$49.75 |
$94.15 |
$138.75 |
| Rates apply to: FL(320-322,340-349), TX
(770-777), LA(710-714) |
|
$59.75 |
$112.50 |
$163.75 |
| Rates apply to: FL (330-334) |
The above amounts include Association membership dues of
$1.00
per certificate and a billing fee of
$4.00 |
As a Member of the Benefits Association you will
receive the
PRESTIGE CARD: Your Personal Passport to
Savings!
- PreScrip- Prescription Drug Benefit Program
- Avesis- Receive discounts on comprehensive hearing exams and hearing
aids.
- Vision One- Eyecare program. Save on eye examination and contact
lenses.
- Budget- Rent-A-Care Discount!
How do I Enroll?
- Select the insurance package that fits your needs
( Example:
"Member& Family)
- Print and Complete the enrollment Form located
below.
(Completion of the below enrollment Form includes
Membership
in Benefits Association.)
- Select your mode of payment.
- Enclose a check for one month premium made payable to American
Pioneer Insurance co.
- Questions concerning benefits or enrolling?
Call: Toll Free:
1-800-654-2010 ext. 218 or local Ocala, Florida
residents may call:
352-624-2100 ext 218
For Dental
Application Click Here.
|
For
Agent rates
Click here.
For Dental Application
Click
Here.
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