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| DENTAL |
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| Highlights |
Valassis offers you dental plan options to help cover dental expenses
for you and your eligible family members. Each option offers coverage
for preventive services and basic and major restorative care. Certain
options also cover a portion of the cost of orthodontia. The options
include:
- Dental Maintenance Organization (DMO)
- Basic Plan
- Buy-Up Plan
You may enroll for dental coverage without enrolling in medical coverage
through Valassis. You may also waive dental coverage.
Dental care services are covered at different levels, depending on
which plan you choose. Here's a summary of your various options for
dental coverage.
| |
DMO Plan |
Basic Plan |
Buy-Up Plan |
| Individual deductible* |
None |
$50 |
$50 |
| Family deductible* |
None |
$150 |
$150 |
| Preventive services deductible |
Paid according to DMO schedule |
None |
None |
| Annual benefit maximum |
None |
$1,000 |
$1,500 |
| Lifetime maximum benefit per person (Orthodontia) |
Paid according to DMO schedule |
N/A |
$1,500 |
| Preventive and diagnostic services |
100% on most services |
100% |
100% |
| Basic restorative services |
Paid according to DMO schedule |
50% |
80% |
| Major restorative services |
Paid according to DMO schedule |
50% |
80% or 50% based on services provided |
| Orthodontia |
Paid according to DMO schedule (Adult & Child) |
N/A |
50% (Adult & Child) |
* Deductible applies to basic and major services only.
Note: To be eligible for
DMO benefits, covered dental services must be provided or prescribed
by a DMO-participating dentist.
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| Summary
Plan Description
The legal summary of this benefit will be included in the
2008 Benefits Handbook.
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