Plan Information


Time Insurance Company
Dental Plus Plan
Schedule of Covered Services and Copayments

Time Insurance Company Plus 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 Plus 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. $100/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 $70 – $275/service
Fillings $90 –$375/service
Extractions $80 - $100/service
Denture Adjustment and Repair $55 - $350/service

Major 180 day waiting period (except KS)

After the waiting period, payments are 50% of the per-service benefit for the remainder of the first policy year. After the first year, payments are 100% of the per-service benefit.

Inlay/Onlay $20 - $375/service
Crowns $40 - $450/service
Endodontics $30 - $400/service
Periodontics $30 - $325/service
Dentures $275 - $400/service
Fixed prosthodontics $175 - $375/service
Oral Surgery $75 - $1,000/service
Annual Maximum The maximum calendar year benefit. Preventive services benefits do not take away from Basic and Major services benefits. $1,500/year for Basic and Major services combined