Dina Dental Dental Insurance

  
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 PPO Plan Highlights and Monthly Premiums  
 Individual                   $20.00  
 Individual + One        $38.00  
 Individual + Family    $60.00  


 BENEFIT YEAR MAXIMUM
 First Year    
 Second Year
Thereafter
 Per Covered Person

 $750 

 $1,000 $1,500
    
 INSURANCE PERCENTAGE
First Year
Second Year
Thereafter
 Type I Covered Expenses - Preventative (Exams, cleanings, etc.)
 100%100%
100%
 Type II Covered Expenses - Basic (Fillings, Extractions, etc.)
80%
80%
80%
 Type III Covered Expenses - Major (Crowns, Root Canals, Dentures, etc)
0%
50%
50%
    
 WAITING PERIOD
First Year
Second Year
Thereafter
 Type III Covered Expenses
12 Months
 None None
 (Unless prior)
  
    
 BENEFIT YEAR DEDUCTIBLE
First Year
 Second Year
Thereafter
 Type I - Per Covered Individual
$50
None
None
 Type II & Type III Combined- Per Covered Individual
 $50$50
$50


  
 Orthodontic - Participating Orthodontists ONLY
   

 Consultation Covered at 100%, Treatment Covered at 20% Discount

   

 

To apply for dental coverage download and print application, complete information and include payment and send to address on application. *Policies must be paid through monthly bank draft (download form) or pay 6 months at a time.

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Operating in Louisiana since 1978.  Use any dentist or a DINA DENTAL PPO Dentist. 
 
*Usual, Reasonable and Customary charges may apply when accessing a dentist who is not participating in the network.
 
Important Notice
These benefits are payable when using one of our Preferred Providers.  If you choose another provider that does not participate with DINA Dental, you may incur additional charges.  The Scheduled Charge is the maximum amount which benefits will be paid.  A non-participating provider may charge more than the Scheduled Charge.  If your dentist charges more than the Scheduled Charge, you will pay the deductible and co-insurance plus the amount over the Scheduled Charge.