What Services Are Covered Under Basic Dental, Major Dental and Orthodontic?
Basic coverage typically includes:
- Ongoing care and maintenance of teeth, roots and gums
- Diagnostic services – exams, radiographs, X-rays and tests
- Preventative treatment – polishing, scaling, oral hygiene instruction, pit and fissure sealants, and space maintainers
- Minor restorations – fillings, prefab crowns for primary teeth, and other services completed in conjunction with minor restorations
- Endodontics – root canal therapy
- Periodontics – treatment of gums
- Denture maintenance – relines and rebases
- Oral surgery – removal of teeth
- Adjunctive services – anesthesia, medications and pain relief
Major Dental typically includes:
- Crowns and onlays
- Dentures and bridges
- Related items such as posts, pins and denture-related surgery
- Replacements when the existing appliance is five or more years old
- Appliance maintenance – denture relines and rebases, denture or bridgework repair
Orthodontics usually covers:
- Ortho-exams, X-rays, diagnostic radiographs and casts
- Braces and retainers (limited to children between the ages of 6 and 18 when treatment begins)
Some providers may offer different benefits under Basic, Major and Orthodontics. Please consult your plan advisor for complete details on what your specific plan covers.
