Plan Information

Time Insurance Company Basic Plan Schedule of Covered Services and Copayments

Time Insurance Company Basic Plan is a simple, affordable plan for good health. Regular dental care can mean more than a brighter smile – it could also mean better overall health. Dental Coverage pays cash benefits when you have dental checkups and treatment – making it easier to keep up with regular visits to the dentist and lead a healthier life. You will get a set cash amount for each dental treatment such as an extraction or a filling, There is no waiting period for checkups and you can visit any dentist of your choice – no network restrictions.

Click here to see the Basic Plan Brochure.

Schedule of Covered Services and Copayments
THIS CHART IS ONLY A SUMMARY. For a complete list of the benefits, exclusions, and limitations, please refer to the Explanation of Benefits (EOB) in your Enrollment Packet.
Plan Pays
Preventive
(No Waiting Period)
Includes: cleanings, exams, x-rays, fluoride and sealants. Two visits per person each policy year, separated by at least 150 days. $75/visit
Basic
(No Waiting Period)

In the first policy year, payments are 50% of the per-service benefit. After the first year, payments are 100% of the per-service benefit.
Anesthesia $35-140/service
Fillings $45-200/service
Extractions $40-50/service
Denture Adjustment and Repair $25-$175/service
Major No Coverage

n/a

Annual Maximum The maximum calendar-year benefit for Basic Services. Preventive Services benefits do not take away from Basic Services benefits. $500/year for Basic Services