Dental Source
Plan E
Presented by
PBA, Inc.

1-800-578-2082
10/00
No Charge Services
·
X-Rays
·
Routine Cleanings
·
Topical Fluoride
·
Oral Exams
·
Local Anesthesia
·
All other dental
procedures are covered at a substantial savings to you. See the benefits schedule on the other side.
No Claim Forms
·
The dentist is
prepaid directly.
·
Most routine and
preventive care is covered.
No Deductible
Most Pre-existing Conditions are Covered Immediately
Large, Established Dental Network
·
You choose your
family general dentist from the provider list.
·
Each dentist is
licensed and is a skilled, experienced professional.
·
The credentials
of each dentist on the provider list are carefully reviewed by American Prepaid before they are selected and are
periodically reviewed.
No Limit To A Specific Number Of Dental Visits Per Year
Easy To Change From One
Participating Dentist To Another
·
All it takes is a
phone call to Dental Plans, Inc. at (770) 963-3939 or (800) 578-2082.
No Maximum Limitations On
Benefits
Specialist Care Available
·
A participating
specialist will reduce their normal charges by 20% when their treatment is
required.
·
Every effort is
made to insure a complete range of specialty care in each geographic area but
it is not always possible. Please check
with Member Services when in question.
No Surprises
·
Check with
benefits schedule to know in advance what your co-payment will be for each
service rendered.
·
Co-payments are
made directly to the dentist.
Dental
Source - Plan E
Bi-Weekly
Payroll Deduction
Individual $11.00
Individual & one dependent $17.00
Family $21.00
Monthly Bankdraft Rate
Individual $23.83
Individual & one dependent $36.83
Family $45.50
Disability Plan
Permanent Life Plan
Vision Plan
Please
note: This is only a summary of the co-payments
and benefits. For more information on
Dental Plans, please call:
1 (800) 578-2082
An
Evidence of Coverage will be sent to you upon enrollment.
Click here to go to Enrollment Form