Plan Information

Schedule of Covered Services and Copayments

The Nationwide Multiflex Dental PPO Advantage plan is a comprehensive dental insurance plan created to offer you and your qualified family members the protection and flexibility you need to maintain your winning smile.

When you enroll with Nationwide Multiflex Dental, you receive affordable coverage for Diagnostic and Preventive services and Network Discounts for Basic and Major services. This plan offers the use of Maximum Care, a national, seamless, credentialed PPO dental network, ranked in the top ten for network size. Maximum Care dentists offer fees below normal costs. The PPO Advantage plan gives you the freedom to select any dentist you please, but if you use the Maximum Care network and you choose a dentist in the network, you may receive cost savings on fees to you and your family.

Out-of-Network benefits will be paid based on MAC fees. MAC means the Maximum Allowable Charge for your plan. You may be responsible for the difference between the MAC and the actual dental charge from a Non-Participating Provider.

Schedule of Covered Services and Copayments
In-Network
Preventative/Diagnostic
No waiting periods
Routine oral exam, Bitewing, Prophylaxis, Sealant, Space Maintainer, Topical Application of Fluoride. 100%
Basic*
No waiting period
Fillings, Simple extractions. Network Discounts Apply
Major
No waiting period
Crowns, bridges, onlays, pontics, oral surgery (surgical extractions & impactions), endodontics, periodontics, dentures.. Network Discounts Apply
Dental Deductible Per calendar year, per insured person, Combined In-Network and Out-of-Network. None
Maximum Plan Benefit Per calendar year, per insured person $500