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Secure DentalOne
Benefits
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How are benefits covered?
Secure DentalOne pays benefits for each covered person in the following manner:
First, you meet the $100.00 Lifetime Deductible per covered person.
Then Secure DentalOne pays a percentage of covered expenses based on the Reasonable and Customary (R&C) fees for those Covered Expenses.
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BasicOne* |
ClassicOne |
PremierOne |
| Waiting Periods |
| Preventative |
0 |
0 |
0 |
| Diagnostic |
N/A |
0 |
0 |
| Basic |
N/A |
6 months |
0 |
| Major |
N/A |
12 months |
0 |
| Coinsurance |
Graded Benefit |
| Preventative |
80% |
80% |
100% |
| Diagnostic |
N/A |
80% |
100% |
| Basic |
N/A |
50% |
25/50/75%** |
| Major |
N/A |
50% |
10/20/40%** |
| Office Co-pay |
N/A |
N/A |
$10 |
| Deductible |
N/A |
$100 lifetime applies
to all services |
$100 lifetime applies
to all services |
Calendar Year
Maximum |
N/A |
$750 |
$1250 |
*BasicOne option subject to PPO MAC pricing
**Year 1/Year 2/Year 3 |
Preventive Care
Routine oral exams—limited to 2 per calendar year
Prophylaxis (the cleaning and scaling of teeth) — limited to 2 per calendar year
Topical application of fluoride—for dependent children under age 19; limited to 1 per calendar year (not applicable in all states)
Diagnostic Care*
Intra-Oral Occlusal Film
Bitewing X-rays (up to a set of 4)—limited to 1 per calendar year
Full mouth X-rays (Panoramic film or Full series)— no less than 36 months apart
Basic Care*
Simple extraction
Pin retention—per tooth, in addition to restorations
Fillings (restorations)
Amalgam restorations
Composite restorations—limited to anterior teeth and bicuspids
Sedative fillings
Antibiotic injections administered by a Dentist
Maintenance Prosthodontics
Denture repairs/Adjustments
Denture Rebase—no less than 24 months apart
Denture Reline—no less than 24 months apart
Major Care*
Endodontic treatment
Periodontic services
Inlays, onlays and crowns
Prosthetic services—dentures or bridges
Oral surgery
*Applies only to ClassicOne and PremierOne options
What is Secure DentalOne?
Secure DentalOne offers you access to quality, affordable dental coverage for your entire family. Coverage is provided for preventive, basic and major dental services.
Exclusive Features:
- Choice of $750 or $1,250 maximum per person
- No waiting period for Preventative Care
- Eligible for ages 18 years and older
- Benefits for preventive, diagnostic, basic, and major services
- Automatic Bank Draft, Visa, MasterCard, or Discover
Three plan options available:
- Choose from our BasicOne, ClassicOne and PremierOne plans
One deductible, for life:
- Save in the long-term through our unique $100 lifetime deductible
What is the OrthoCare Program?
The OrthoCare Orthodontic Discount Program* is an optional program for orthodontic care. When using a contracted OrthoCare Orthodontist, you will save 15% - 20% on the services performed. The OrthoCare
program has been designed to offer orthodontic benefits to both individuals and families, providing benefits for the routine orthodontic treatment for children and adults. Children who are dependents
are covered under the family plan up to their 23rd birthday. OrthoCare has no waiting periods before the benefits begin.
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