Page 11 - 2019 Sharks Benefits V6.1
P. 11

BEAM Dental


                Another offering available to employees comes from BEAM Dental.

               Website: http://www.beam.dental

                                                    Benefits at a Glance


                                                                                            Out-of-Network
                                                                         In-Network
                                                                                               th
                  Plan Coverage                                                             (90  Percentile
                                                                         (PPO Fee)
                                                                                            UCR)
                  Preventive & Diagnostic
                  Diagnostic and preventative exams, cleanings,              100%                 100%
                  fluoride space maintainers, x-rays, and sealants
                  Basic
                  Emergency palliative treatment: to temporarily
                  relieve pain
                  Endodontics: root canals
                  Periodontics: to treat gum disease                         100%                 80%
                  Oral surgery: extractions and dental surgery
                  Minor restorative: fillings
                  Prosthetic maintenance: refines and repairs to
                  bridges, implants, and dentures
                  Major
                  Major restorative: crowns, inlays and onlays
                  Prosthodontics: dentures                                   80%                  50%
                  Prosthetics: bridges
                  Implants
                  Orthodontia
                  Child Orthodontics: braces with age limit of 19            50%                  50%
                                                       Plan Maximums
                  Annual Max                                                         $5,000/year
                  Ortho Lifetime Max                                                $2,000/lifetime

                  Plan Deductible
                  (deductible waived for diagnostic & preventative services)
                  Individual                                             $25.00/year
                  Family                                                 $75.00/year

                Annual maximum applies to diagnostic and preventative, basic services, and major services.
                Lifetime maximum applies to orthodontic services.
                Annual Max based on Calendar Year.










                                                                                                           8
   6   7   8   9   10   11   12   13   14   15   16