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Benefits |
Association Base Dental |
DentalPlus Basic |
DentalPlus Enhanced |
Association Gold Dental |
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Prescription
Drug |
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No coverage |
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No coverage |
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Dental -
Basic Coverage |
-70% on $350 ($245) |
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-50% of first $1,150 (Year 1) |
-70% of first $1200 (Year 1) |
-80% co-payment |
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-80% of first $300, 50% of next $850
(Year 2+) |
- 100% of first $500, %60 of next $700
(Year 2+) |
-Year 1:
$500, Year 2: $750, Year 3 & 4: $1000 |
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-Periodontics and |
-No coverage |
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-No coverage |
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-1st and 2nd year at 60% to max of $1250 |
-Covered under above Basic Services |
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Endodontics |
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every 3 years ($400 first year max) |
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-Crowns,
Bridges, |
-No coverage |
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-No coverage |
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-1st and 2nd year at 0%, then 60%
included |
-Starting in year 3, 60% co-pay under the
above |
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Orthodontics, Dentures |
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with perio and endo in 3 year maximum |
same maximums |
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-Recall
visits |
-9 month recall |
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-9 month recall |
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-6 month recall |
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-6 month recall |
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Vision Care |
$100 per 2 benefit years |
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$250 per 2 benefit years |
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$250 per 2 benefit years |
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$100 per 2 benefit years |
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Eye
Examinations |
$30 per 2 benefit years |
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$30 per 2 benefit years |
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$30 per 2 benefit years |
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$30 per 2 benefit years |
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Travel
Coverage |
No coverage |
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Unlimited trips up to 9 days - $5,000,000 |
Unlimited trips up to 9 days - $5,000,000 |
No coverage |
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Hospital
Coverage |
No coverage |
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Optional coverage |
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Optional Coverage |
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No coverage |
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Chiropractors,
Osteopaths, |
$15 maximum per visit, |
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$15 maximum per visit, 20 visits per year
per |
$15 maximum per visit, 20 visits per year
per |
$15 maximum per visit, |
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Podiatrists,
Naturopaths, |
$300 per specialist and therapist |
specialist and therapist |
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specialist and therapist |
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$300 per specialist and therapist |
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Massage
Therapists, |
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Chiropodists,
Acupuncturist |
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Speech
Pathologists/Therapist |
$60 first visit, $40 subsequent, 10 visit
max |
$60 first visit, $40 subsequent, 10 visit
max |
$60 first visit, $40 subsequent, 10 visit
max |
$60 first visit, $40 subsequent, 10 visit
max |
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Psychologist |
$75 first visit, $60 subsequent, 10 visit
max |
$75 first visit, $60 subsequent, 10 visit
max |
$75 first visit, $60 subsequent, 10 visit
max |
$75 first visit, $60 subsequent, 10 visit
max |
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Physiotherapist |
$15 max per visit, $300 total |
$250 maximum per anniversary year |
$250 maximum per anniversary year |
$15 max per visit, $300 total |
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Homecare
and Nursing, |
Year 1-$500, year 2-$800, year 3-$1000, |
$2,500 per anniversary year, for each of
these |
$2,500 per anniversary year, for each of
these |
Year 1-$500, year 2-$800, year 3-$1000, |
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Medical
Equip & Appliances |
year 4-$1500, year 5-$2500, per category |
three categories of benefits separately |
three categories of benefits separately |
year 4-$1500, year 5-$2500, per category |
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Ambulance
Services |
Unlimited + $4000 air ambulance |
Unlimited + $4000 air ambulance |
Unlimited + $4000 air ambulance |
Unlimited + $4000 air ambulance |
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AD & D |
$10000 per adult, $4000 for senior and
child |
$25000 per adult, $10000 for senior and
child |
$25000 per adult, $10000 for senior and
child |
$10000 per adult, $4000 for senior and
child |
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Accidental
Dental |
$2000 per anniversary year |
$2000 per anniversary year |
$2000 per anniversary year |
$2000 per anniversary year |
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Hearing
Aids |
$300 every 4 consecutive benefit years |
$400 every 4 consecutive benefit years |
$400 every 4 consecutive benefit years |
$300 every 4 consecutive benefit years |
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Lifeline |
3 months |
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3 months |
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3 months |
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3 months |
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Best
Doctors |
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Survivor
Benefit |
In 2nd year, 1 yr coverage following
death of sub |
1 yr coverage following death of sub |
1 yr coverage following death of sub |
In 2nd year, 1 yr coverage following
death of sub |
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Fracture
Benefit |
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Other
Benefits |
Best Doctors Solutions Services |
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Best Doctors Solutions Services |
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