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Individual
Dental Brochure
Qualify
to Tahiti - 2009
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Individual Dental Insurance
Product
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Click on
Logo To Apply For Coverage |
Who is eligible for coverage?
This plan is offered to individuals ages 18 and over,
their spouses, and their eligible dependents (unmarried children from birth to
age 19 or 23 if a full-time student – this is subject to state requirements).
Coverage may also be obtained by individuals and their spouses ages 65 and
older.
How are benefits covered?
Madison Dental, the insurance company behind ISN's Dental
Product, pays benefits for each covered person in the following manner:
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Value Plan
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Primary Plan
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Superior Plan
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$500 Annual Maximum
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$1000 Annual Maximum
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$1250 Annual Maximum
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Preventative Care
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80/100%* Co-Insurance
No Waiting Period |
80/100%* Co-Insurance
No Waiting Period |
100% Co-Insurance
No Waiting Period |
Diagnostic Care
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80/100%* Co-Insurance
No Waiting Period |
60/80%* Co-Insurance
No Waiting Period |
90% Co-Insurance
No Waiting Period |
Basic Care
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25/80%* Co-Insurance
No Waiting Period |
25/75%* Co-Insurance
No Waiting Period |
80% Co-Insurance
4-Month Waiting Period |
Major Care
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PPO Discounts
No Waiting Period |
10/40%* Co-Insurance
No Waiting Period |
50% Co-Insurance
15-Month Waiting Period |
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* 1st year/2nd year benefits
Plans feature $50 deductibles per person per year. Over age 65 feature
$100 deductibles per person per year.
Plans feature $10 office visit copays. Over age 65 feature $25 office
visit copays. |
Preventive: Cleanings, exams, sealants, fluoride
Diagnostic: Bitewing X-rays, full mouth X-rays
Basic: Fillings, extractions, repairs
Major: Endodontics, Periodontics, Oral Surgery, Crowns, Bridges
How soon can my coverage start?
Coverage starts on the effective date. The effective date
issued will begin on the first of the month (at 12:00 a.m.) following receipt of
the completed Enrollment Form and payment of the first month of premium.
Agent information only
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