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Individual Dollar-Based Dental Plan
Spend your benefit dollars on care that's important to you and your family. Include a routine exam and cleaning and
watch your benefits grow in the next year.
Plan features:
- You decide how to spend your benefit dollars
- No deductibles
- 6 month waiting period for all services
- No limitations or exclusions for covered services (orthodontia, teeth bleaching and veneers are not covered services)*
- Choose any dentist, but save even more by using one of our network providers
- Optional Vision rider available ($150 in services and / or hard-ware per Member every two years)
Here's how it works:
Each year that you take advantage of an annual checkup and cleaning, the benefit dollars available to you increase.
The goal is to reach $1,500 in available benefits by year four. Every year the plan pays: 100% of the first $150 of care,
80% of the next $500 of care, and 50% of remaining care until you reach your annual maximum benefit. There is a six month
waiting period for all covered services on this plan.
* This plan excludes aesthetic and orthodontic dental services.
Outline of Coverage
Covered Services
Covered Services are those services or supplies that are required to prevent, diagnose, or treat diseases or conditions
of the teeth and supporting tissues and are Dentally Appropriate. These services must be performed by a Dentist or other
provider practicing within the scope of his or her license.
Exclusions
Your policy does not cover:
- Bleaching of teeth
- Labial veneers
- Orthodontic services, including craniomandibular orthopedic treatment; procedures for tooth movement, regardless of purpose; correction of malocclusion; preventive orthodontic procedures; and other orthodontic treatment.
- Expenses payable by motor vehicle insurance or other liability insurance coverage
- Work-related injuries

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E-mail us for more information and a free quote or CALL TOLL FREE 1-800-875-4490 (in the U.S.)
or 1-253-854-0199 (outside the U.S.) Fax: 1-253-896-9411
Mailing address: Maddock & Associates, 1407 Willow Road E, Suite C, Tacoma, WA 98424
Serving all of Washington at 800-875-4490, Seattle at 206-682-1628, Bellevue at 425-454-6834, Kent at 253-854-0199 and Tacoma at 253-572-3291.
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