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Insurance Coverage Options
Advantages of Empire’s Enhanced Care Plus Option D Plan
Low copay & no deductible
No deductible for preventative and diagnostic services after a $10 office visit copay.
Unlimited cleanings
Get unlimited cleanings and fluoride treatments with a low copay (or no copay at all).
Choose your doctor
Take your pick of general dentists and specialists for the nearly 500 dental procedures covered.
Dental Services and Copay Schedule:
|
Enhanced Care Plus Option D Plan Services |
Copays |
|---|---|
|
Office visits |
$10 |
| Diagnostic and preventive services | Copays |
|---|---|
|
Exams |
$0 |
|
X-rays |
$0 |
|
Cleanings |
$0 |
|
Fluoride applications |
$0 |
|
Sealants |
$0 |
| Restorative services | Copays |
|---|---|
|
Fillings (one surface resin composite, anterior) |
$15 |
|
Fillings (one surface resin composite, posterior) |
$35 |
|
Crowns |
$255 |
| Endodontic services | Copays |
|---|---|
|
Root canals (anterior) |
$190 |
| Periodontal services | Copays |
|---|---|
|
Scaling and root planing (1 to 3 teeth) |
$40 |
| Prosthodontic services | Copays |
|---|---|
|
Dentures (complete upper or lower) |
$430 |
|
Crown (porcelain fused to high noble metal) |
$330 |
| Oral surgery | Copays |
|---|---|
|
Extraction (erupted tooth or exposed roots) |
$15 |
|
Removal of impacted tooth (completely boney) |
$140 |
Empire’s Dental Plan Compared to the Competition
Empire Enhanced Care Plus Option D Plan (Managed Care)
- No deductible for preventive and diagnostic services after a $10 office visit copay
- Unlimited cleanings and fluoride treatments with a low copay (or no copay at all)
- Orthodontia coverage for both children and adults
Many Competitive Plans
- A $5 - $35 office visit copay PLUS an additional copay for each service
- Limit of 2 treatments, after which a copay of $60 applies
- Orthodontia coverage for children only when medically necessary
Explore Our Other Plan Options
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