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SureCare Dental - $1500 Indemnity Benefit
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$29.50
per Month
for Individual
$59.50
per Month
for Individual plus Spouse
$54.50
per Month
for Individual plus Child(ren)
$87.50
per Month
for Family
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AWA Member $1,500 Dental Indemnity Benefit - See the dentist of your choice, $1500 annual maximum, $50 deductible - waived for preventive services, Set reimbursements for procedures. Cash paid directly to you or your provider.
States Not Available: AK, CA, CT, FL, KS, ME, MD, MA, MN, MT, NV, NH, NJ, NY, OH, OR, PR, SD, UT, VT, WA
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Dental Plan
Preferred Scheduled 1500
Indemnity Benefits - See the dentist of your choice.
$1500 annual maximum
Low $50 deductible - waived for preventive services.
Set reimbursements for procedures - no surprises!
Cash paid directly to you or your provider†
Sample Reimbursements
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ADA Code
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Description
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Reimbursement
|
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0150
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Comprehensive oral evaluation - new or established patient
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$33.00
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0274
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X-Ray - bitewings - four films
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$26.00
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1110
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Routine Prophylaxis - adult (once every six months)
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$38.00
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2331
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Resin filling - two surfaces, anterior
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$50.00
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2750
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Crown -porcelain fused to high noble metal*
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$187.00
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3330
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Root Canal - Molar*
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$196.00
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4341
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Periodontal scaling and root planning - per quadrant*
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$48.00
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7110
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Single tooth (extraction)
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$40.00
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This illustration is a sample only. Please see the member certificate for all codes, exclusions, and limitations.
Click here for a full reimbursement schedule.
† Depending on your provider's billing practice.
†† Documentation consisting of the most recent prior invoice and summary of
benefits must be submitted the time of initial enrollment for waiver to be considered.
* 12 month wait for these services apply.
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Administered by Homeland HealthCare. Limited Benefit Health Insurance underwritten by Markel Insurance Company, has its principal place of business at 4600 Cox Road, Glen Allen, VA 23060. It is currently authorized to transact business in all states and the District of Columbia. NAIC No. 38970. A subsidiary of Markel Corporation. Limited Benefit Health Insurance is not basic health insurance or major medical coverage and is not designed as a substitute for basic health insurance or major medical coverage. Limited Benefit Indemnity-Based Group Health Insurance, marketed under the service mark "SureCareSM" and "NowCareSM" and bearing the policy form series number 4502AH, or any state variation thereof; and Group Vision, bearing the policy form series number C22438DBG, C22438(MES)DBG, or any state variation thereof. Click here to view the limited benefit health insurance plan coverage limitations, exclusions definitions and termination provisions.
Value Added Benefits are not provided by Markel Insurance Company. Markel assumes no responsibility or liability for any of the listed services, the providers of the services, the quality of the services, the delivery of the services or the outcomes of the services. Questions or concerns about the Value Added Benefit services should be addressed directly to the providers.
© 2010 Homeland4one. All Rights Reserved. Not all programs available in all states. Void where prohibited by law. - Privacy Policy
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