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Individual Dental Brochure

Qualify to Tahiti - 2009

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Individual Dental Insurance Product


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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:


Value Plan
Primary Plan
Superior Plan

$500 Annual Maximum
$1000 Annual Maximum
$1250 Annual Maximum
Preventative Care
80/100%* Co-Insurance
No Waiting Period
80/100%* Co-Insurance
No Waiting Period
100% Co-Insurance
No Waiting Period
Diagnostic Care
80/100%* Co-Insurance
No Waiting Period
60/80%* Co-Insurance
No Waiting Period
90% Co-Insurance
No Waiting Period
Basic Care
25/80%* Co-Insurance
No Waiting Period
25/75%* Co-Insurance
No Waiting Period
80% Co-Insurance
4-Month Waiting Period
Major Care
PPO Discounts
No Waiting Period
10/40%* Co-Insurance
No Waiting Period
50% Co-Insurance
15-Month Waiting Period

* 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