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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.
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For Agent rates
Click here.
For Dental Application
Click Here.
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