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9

Dental

Regular visits to your dentists can protect more than your smile; they can help protect your health. Recent studies

have linked gum disease to damage elsewhere in the body and dentists are able to screen for oral symptoms of many

other diseases including cancer, diabetes, and heart disease.

Advantech Corporation provides you with comprehensive plan through Anthem Blue Cross.

Remember that coverage through an in-network provider means that you pay a discounted rate for covered services,

and the dentist cannot charge you more than your share of costs for that rate. If you go out of network, the

reimbursement amount is based on the 90

th

percentile of usual, customary, and reasonable costs that vary by type of

service and region.

Anthem Dental PPO

In-Network

Out-Of-Network

Calendar Year Deductible

$50 per individual, up to $150 per family

$50 per individual, up to $150 per family

Annual Plan Maximum

$2,000 (combined with out-of-network)

$2,000 (combined with in-network)

Diagnostic and Preventive

(exams limited to 2x per

year)

No charge (deductible waived)

No charge

Basic Services

Fillings

You pay 20% after deductible

You pay 20% after deductible

Root Canals

You pay 20% after deductible

You pay 20% after deductible

Periodontics

You pay 20% after deductible (frequency

limitations may apply)

You pay 20% after deductible (frequency

limitations may apply)

Major Services

You pay 50% after deductible

You pay 50% after deductible

Orthodontic Services

Orthodontia

You pay 50%

You pay 50%

Lifetime Maximum

$1,500 (combined with out-of-network)

$1,500 (combined with in-network)

Eligibility

Dependent Children and Adults

Dependent Children and Adults