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Dental
Plan
 I need help with....
Eligibility
Full-time and part-time (20+hrs) employees and their legal dependents; coverage begins the first of the month following 30 days of full-time or part-time service.
What is covered
| Dental Benefits |
NEW PLAN!
Lincoln Financial PPO |
Benefit Details |
| |
In-Network |
Non-Network |
Calendar Year Deductible |
$50 per member
(3 per family) |
$50 per member
(3 per family) |
Calendar Year Maximum Benefit
(per member) |
$1,000 |
$1,000 |
| Deductible Waived on Preventive |
Yes |
Yes |
Preventive Services
(ie. routine exams, cleanings,
x-rays) |
Covered at 100% |
Covered at 100% |
Basic Services
(ie: fillings, root canals, extractions) |
Covered at 80% |
Covered at 80% |
Major Services
(ie: Perio surgery, crowns, bridges, dentures) |
Covered at 50% |
Covered at 50% |
Orthodontic Services
(for children up to age 19) |
Covered at 50% |
Covered at 50% |
| Orthodontic Lifetime Maximum Benefit |
$1,000 per dependent child |
$1,000 per dependent child |
| Allowable expense based on |
PPO negotiated fee allowance |
Customary & Reasonable |
For
estimated charges over $300, an
insured's dentist must submit an itemized treatment plan to Lincoln Financial
before treatment begins.
Note:
This is a convenient brief summary. Always check your booklet
certificate. The contract is the official source of information.
Cost of benefit
You
and Rehab Solutions share in the cost of this coverage. Click on the link
below to view these costs. You will need a User Id, which will always be rehab,
and the monthly password. You can
get the current password from Human Resources.
Continuing coverage after I stop working
You may continue coverage for you and your eligible dependents at your own
expense. Certain conditions apply. You will be provided with the proper forms,
information, and costs upon leaving your employment with Rehab Solutions,
Inc.
Preferred dental providers
You may contact Lincoln Financial Group Customer Service at 1-800-423-2765 or visit the following link:
www.LFG.Com
Other resources
- Lindsey Janneck
Human Resources/Payroll Administrator
Rehab Solutions, Inc.
Phone, 1-704-841-9574 ext.22 , 1-800-273-3418
Fax, 1-888-271-3830
ljanneck@rehabsolutionsinc.net
Online forms
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