Transcription of Summary of Benefits Anthem Dental Essential Choice ...
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Summary of BenefitsAnthem Dental Essential ChoiceCommonwealth of KY Bronze PlanAnthem Dental Complete NetworkWELCOME TO YOUR Dental PLAN!Powerful and easily accessible member in your plan Dental Benefits at a glanceIn-Network Out-of-Network Annual Benefit Maximum Calendar Year Per insured person$750$750D&P applies to Annual MaximumYesYesAnnual Maximum Carryover / Carry inNo/NoNo/NoOrthodontic Lifetime Benefit Maximum Per eligible insured personN/AN/AAnnual Deductible Per insured person/Family maximumCalendar Year$50/Unlimited $50/UnlimitedDeductible Waived for Diagnostic/Preventive ServicesYesYesOut-of-Network Reimbursement:Prime (MAC)QuoteID: 26157001 Page 1 of 3 Need to contact us?
Crowns, veneers, dentures, and bridges 1 per tooth per 84 months · Dental implants Not Covered · Cosmetic teeth whitening Not Covered. Prosthodontic Repairs/Adjustments.
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