Benefits

Concordia Flex Voluntary Dental Program Benefits

DIAGNOSTIC & PREVENTIVE 100%

• Routine Examinations (one every six months)
• X-rays (Four bitewings- one every 6 months, full mouth X-rays- one every 3 years)
• Fluoride Treatments (one every 6 months; to age 19)
• Prohpylaxis (one every 6 months)
• Palliative Emergency Treatment
• Sealants (one tooth ever three years; permanent first molars to age 10; permanent second molars to age 15)

PRIMARY 80%

• Basic Restorations
• Endodontics
• Denture Repairs
• Simple Extraction
• Anesthesia
• Inpatient Consultations
• Non-surgical Periodontics
• Oral Surgery

MAJOR 50%

• Inlays, Onlays, Crowns (one per tooth in five years)
• Prothetics (one in five years)
• Surgical Periodontics

ORTHODONTICS 50%

• Diagnostic, Active, Retention Treatment (to age 19)

DEDUCTIBLES & MAXIMUMS

• Deductible
NONE
• Calendar Year Maximum
$1,000 Per Person
• Orthodontic Program Lifetime Maximum
$1,000 Per Child

PERCENTAGES ABOVE ARE BASED UPON UNITED CONCORDIA'S SCHEDULE OF MAXIMUM ALLOWANCES.