Renaissance MAX Choice PLUS Plan
This is a PPO plan. Plan participants have access to over 200,000 nationally credentialed dental PPO provider access points.
Individuals may visit any dentist, but will receive the best benefits by seeing a dentist who participates in the Renaissance PPO network. MAX Choice Plus gives you more value if you visit an out-of-network dentist by paying claims at a higher level of reimbursement than our MAX Choice (PPO MAC) plan option.
No waiting periods on any services.
|Max Choice PLUS Plan Fee Schedule|
*When visiting a PPO dentist. Out-of-network fees are paid at 80th percentile.
Billing and eligibility administration provided by Morgan-White Administrators, Inc.
|Covered Services||Plan Pays|
|Year 1||Year 2||Year 3|
|Diagnostic & Preventive Services||Used to evaluate existing conditions and/or to prevent dental abnormalities or disease (includes exams, cleanings, bitewing x-rays and fluoride treatments)||100%||100%||100%|
($1,200 lifetime maximum per person for this benefit)
|Orthodontic benefits are only available for eligible dependent children up to age 19.||10%||25%||50%|
Annual Deductible per person/family for Basic and Major Services Only.
The Deductible does not apply for Diagnostic and Preventive or Orthodontic Services.