| Class I - Diagnostic and Preventive: Exams, x-rays, fluoride, cleanings, sealants. | 80% |
|---|---|
| Class II - Basic Dental: Fillings, root canals, periodontal work, extractions, anesthesia, temporary crowns. | 80% |
| Class III - Major Dental: Crowns dentures, bridgework. | 50% |
| Orthodontics - Dependent children under age 19 | 50%; up to $1,200 lifetime; $75 deductible waived |