| Option A | Option B | Option C | |
|---|---|---|---|
| Basic/Preventive Services (Examinations, x-rays, cleaning and polishing, fillings, extractions) Coverage 8 units scaling and/or root planing per year | 80% No annual maximum; inside limits apply | 80% No annual maximum; inside limits apply | 65% No annual maximum; inside limits apply |
| Minor Restorative Services (Root canal treatment, gingival curettage) Coverage Endodontics | 80% Combined maximum: $750 per calendar year | 80% Combined maximum: $750 per calendar year | 65% Combined maximum: $750 per calendar year |
| Major Restorative Services (Crowns on natural teeth) Coverage Crowns, Posts, and Inlays and onlays. | 50% Combined maximum: $800 per calendar year | ||
| Major Restorative Services (Implants, crowns on implants, partial and full bridges, partial and full dentures, etc.) Coverage (Implants, crowns on implants, partial and full bridges, partial and full dentures, etc.) | 50% Combined maximum: $800 per calendar year |
