Name: MAX Choice Plus
Brand: Renaissance

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person 90001 | Applicant,35 edit

$98.38 /mo.

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MAX Choice Plus

Plan Type PPO

Dentist Search

$98.38 /mo.

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Plan Highlights

No age limits
No waiting periods on any services
Preventive procedures covered at 100%
Immediate coverage for Basic Services that escalates to 80% in the third year
Immediate coverage for Major Services that escalates to 50% in the third year
Orthodontic Coverage up to age 19 that escalates to 50% in the third year
Annual Plan Maximum that escalates to $3000 in the third year

Access to over 200,000 nationally credentialed dental PPO provider access points. While you may save the most money by visiting a dentist in our vast network, you are welcome to visit any licensed dentist in the country.

Common Procedures

Details

Fee Schedule: N/A | Dentist Search

Exams: Routine periodic examinations twice in a calendar year
1st Year – 100%
2nd Year – 100%
3rd Year and after – 100%
Preventive – No waiting period

Cleanings: Teeth Cleanings – twice in a calendar year
1st Year – 100%
2nd Year – 100%
3rd Year and after – 100%
Preventive – No waiting period

X-Rays: Bitewing X-rays are payable once per calendar year
(Full mouth X-rays covered under Major Services and payable once in any five-year period)
1st Year – 40% after deductible
2nd Year – 60% after deductible
3rd Year and after – 80% after deductible
Basic – No waiting period

Fillings: 1st Year – 20% after deductible
2nd Year – 40% after deductible
3rd Year and after – 50% after deductible
Major – No waiting period

Extractions: 1st Year – 20% after deductible
2nd Year – 40% after deductible
3rd Year and after – 50% after deductible
Major – No waiting period

Crowns: Crowns are payable once per tooth per five-year period
1st Year – 20% after deductible
2nd Year – 40% after deductible
3rd Year and after – 50% after deductible
Major – No waiting period

Root Canals: 1st Year – 20% after deductible
2nd Year – 40% after deductible
3rd Year and after – 50% after deductible
Major – No waiting period

Dentures: Dentures are payable once per tooth per five-year period
1st Year – 20% after deductible
2nd Year – 40% after deductible
3rd Year and after – 50% after deductible
Major – No waiting period

Deep Cleanings: Periodontic Services – Used to treat diseases of the gums and supporting structures of the teeth
1st Year – 20% after deductible
2nd Year – 40% after deductible
3rd Year and after – 50% after deductible
Major – No waiting period

Implants: 1st Year – 20% after deductible
2nd Year – 40% after deductible
3rd Year and after – 50% after deductible
Major – No waiting period

Braces / Orthodontia: Orthodontic benefits are only available for eligible dependent children up to age 19
1st Year – 10%
2nd Year – 25%
3rd Year – 50%
$1200 lifetime maximum per person for this benefit

Teeth Whitening: Not Covered Service

Additional Network Information:

Individuals may visit any dentist, but will receive the best benefits by seeing a dentist who participates in the Renaissance PPO network. Individual claims will be paid based on Renaissance Dental’s PPO Fee Schedule. This means individuals seeking the lowest out-of-pocket costs should visit a PPO dentist.

Out-of-network fees are paid based on PPO Fee Schedule.

Billing and eligibility administration provided by Morgan-White Administrators, Inc.

Exclusions and Limitations
Privacy Policy
Plan Brochure

FAQ

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?

What provider options do I have?

When can I start using my Plan?

When will I receive my new member kit and what will it include?

Who can enroll in this plan?

Renaissance Dental
P.O.Box 17250
Indianapolis, IN 46217

Disclaimers & 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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