EMPLOYEE BENEFITS SUMMARY
and Prosthodontic Services 80% 60% Crowns, Inlays/Onlays Services, Implants/Implant Repairs 50% 50% Orthodontic Services Ortho Diagnostic Procedures and Treatment (Adults and Children) 50% No benefit unless utilizing a Delta PPO provider Lifetime Maximum Benefit $1500 per individual $1500 per individual Medical Plans Accountable Care Plan ................
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