- Freedom to choose any dentist, but using Maximum Care Network will give you in-network benefits. Maximum Care network a national, seamless, credentialed PPO dental network, ranking in the top 10 for network size
- Coverage for you and qualified family members
- 100% coverage for diagnostic and preventive services
- Network discounts for Basic and Major services
- Guaranteed acceptance
- No deductible
|White Filling:||Network Discounts Apply|
|Crown:||Network Discounts Apply|
|Root Canals:||Network Discounts Apply|
|Simple Extractions:||Network Discounts Apply|
|Plan Maximum:||$500 per calendar year, per insured person|
|Fee Schedule: N/A | Dentist Search||Exams:|
|Routine oral examinations (limit two per year) – 100%||Cleanings:|
|Cleanings (limit two per year) – 100%||X-Rays:|
|Bitewing X-rays – 100%||Fillings:|
|Network Discounts Apply||Extractions:|
|Network Discounts Apply||Crowns:|
|Network Discounts Apply||Root Canals:|
|Network Discounts Apply||Dentures:|
|Network Discounts Apply||Deep Cleanings:|
|Network Discounts Apply||Implants:|
|Not Covered Service||Braces/Orthodontia:|
|Not Covered Service||Teeth Whitening:|
|Not Covered Service||Additional Network Information:|
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.Exclusions and Limitations
Can I change my dentist once I am in the plan?
Yes, you may change your dentist at any time.
What is a pre-existing condition versus work-in-progress? Is it covered?
A pre-existing condition is an oral health condition, which existed before your enrollment in a dental program. The plan does not include an exclusion for pre-existing conditions.
Work in progress is any oral health procedure that is started and not completed prior to your enrollment in a dental program. The plan does not cover any expenses prior to the date you are covered under the Policy.
What provider options do I have?
The plan gives you the freedom to select any licensed 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.
When can I start using my Plan?
You can start using your plan once it goes into effect - usually the 1st of the month following your enrollment (as long as the enrollment and payment is received within the enrollment deadline). Incomplete enrollment forms or failure to submit the required initial premium amount may cause an initial delay in issuance of insurance. Do not cancel any other insurance or assume you are insured under the Plan until you receive your certificate of insurance.
When will I receive my new member kit and what will it include?
Your enrollment package will be emailed within 3 days of application approval. The email will contain the web address to go to, along with a username and password to log in and retrieve your enrollment package. It will include a welcome letter, policy, certificate and ID card.
Who can enroll in this plan?
Coverage is offered to individuals under 65 years of age plus their eligible dependents. For individuals age 65 years and older plus their eligible dependents coverage is offered at an increased rate. The final rate will be calculated when completing your application.
As long as you meet the plan’s general eligibility requirements and pay the applicable premium, your acceptance is automatic.
One Nationwide Plaza
Columbus, Ohio 43215-2220
Disclaimers and Disclosures:
This website provides a very brief description of some of the important features of this plan. It is not the insurance contract, nor does it represent the insurance contract. A full description of benefits, exclusions and limitations is contained in the Schedule of Benefits and your policy.
Rates shown are based upon the information you provided, and are subject to change based on the dental and/or vision plan's underwriting practices and your selection of available optional benefits, if any. Final rates and effective dates are subject to underwriting and are always determined by the dental insurance and/or vision insurance company. To be considered for reimbursement, expenses must qualify as covered expenses.
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