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2024 – Summary Of Benefits – Low Plan.pdf

United-Concordia-Dental-2024-Low-Plan-Summary.pdf
Preview of 2024 – Summary of Benefits – Low Plan
🔗 Source: benefits.inframark.com
📊 Size: 253 KB
📄 Pages: 2 pages
⬇️ Downloads: 91

Summary

Effective Date: 01/01/2024, Network: Elite Plus.
Benefits:
- Class I (Diagnostic/Preventive): 100% in-network, 80% out-of-network
- Class II (Basic): 80% in-network, 60% out-of-network
- Class III (Major): 50% in-network, 30% out-of-network
Included features: College Tuition Benefit, Preventive Incentive, Smile for Health--Wellness, Pregnancy Benefit.
Maximums & Deductibles:
- Annual Program Deductible: $50/$150 in-network, $100/$300 out-of-network
- Annual Program Maximum: $1,500
- Lifetime Orthodontic Maximum: No Coverage
Reimbursement: 90th Percentile, administered by United Concordia Companies, Inc.

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Description

Effective Date: 01/01/2024, Network: Elite Plus.

Technical Information

  • File Format: PDF
  • File Size: 253 KB
  • Pages: 2
  • Language: EN
  • Total Downloads: 91
  • Last Updated: 7 days ago

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