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Plan 65

Questions Regarding the Dental Option

How much is the dental option?
The 2014 monthly premium is $27.94.

Does it cover dentures?
Although it does not cover the cost of purchasing dentures, the plan will help pay for the repair of dentures after a $50 annual deductible at 80 percent benefits up to a yearly maximum benefit payment of $1,000.

Does it cover crowns?
No.

What if my dentist is not in the network?
If you use a non-contracting dentist, you will be reimbursed at 80% of the maximum allowable payment made to a contracting dentist for the same service. But you may need to pay for any charges over the dental plan's allowance in addition to any deductible and coinsurance of the program.

Can I cancel the dental policy at a later time?
Yes.

Can I get the dental policy at a later time?
No, the dental policy is only offered at your initial enrollment in a Plan 65 policy.

What does it cover?
It covers 100 percent on two oral exams per year; two cleaning, scaling and polishings per year; two bitewing x-rays per year; and one full mouth x-ray every five years. It covers 80 percent after a $50 annual deductible up to a maximum benefit of $1000 on simple extractions, fillings (except gold), root canal treatment, periodontic treatment of the gums, extraction of impacted teeth, repair of dentures, and general anesthesia with a covered dental service.

Does it have a deductible?
There is a $50 annual deductible on some services.

Does the deductible apply to the two yearly checkups?
No, your two yearly checkups are covered at 100 percent.

Is there a waiting period?
No.

Can I just get the dental plan?
No, the dental option is only offered with a Plan 65 Medicare supplement policy.

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