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Our Dental Plans

Smart Health Dental PPO

Freedom to choose any dentist, however individual claims will be paid based on Renaissance Dental’s PPO Fee schedule. This means individuals seeking the lowest out-of-pocket costs should visit a PPO dentist.

Benefit Highlights:
PPO Dentist Non Participating Dentist
Diagnostic & Preventive Services
  • Diagnostic & Preventive Services —exams, cleanings and fluoride (up to age 19)
  • Brush Biopsy —to detect oral cancer
  • Sealants —to prevent decay of permanent molars
  • Bitewing Radiographs —X-rays
100% 100%
Basic Services
Emergency Palliative Treatment —to temporarily relieve pain 80% 80%
  • Other Radiographs —other than bitewing X-rays
  • Minor Restorative Services —fillings
50% 50%
Major Services
  • Periodontic Services —to treat gum disease
  • Endodontic Services —root canals
  • Oral Surgery Services —complex extractions and dental surgery
  • Major Restorative Services —crowns
  • Prosthodontic Services —bridges, implants and dentures
  • Relines and Repairs —to bridges, implants and dentures
0% 0%
Orthodontics
Orthodontic Services —braces 0% 0%
Maximums & Deductibles
Benefit Year Maximum —per person/per benefit year applies to Diagnostic & Preventive and Basic $750 $750
Benefit Year Deductible $0 $0
Allowed Amounts
Allowed amount —in and out-of-network providers PPO Fee PPO Fee

Smart Health Dental Elevate

Smart Health Dental Elevate plan option is designed to provide affordable and flexible access to dental care. Our elevating plan design encourages members to maintain good oral health practices year after year.

Benefit Highlights:
1st Year 2nd Year 3rd Year
Diagnostic & Preventive Services
  • Diagnostic & Preventive Services —exams, cleanings and fluoride (up to age 19)
  • Brush Biopsy —to detect oral cancer
80% 100% 100%
Basic Services
  • Emergency Palliative Treatment —to temporarily relieve pain
  • Radiographs —bitewing X-rays
  • Sealants —to prevent decay of permanent molars
40% 50% 60%
Major Services
  • Other Radiographs —all other x-rays besides bitewing X-rays
  • Periodontic Services —to treat gum disease
  • Endodontic Services —root canals
  • Oral Surgery Services —extractions and dental surgery
  • Minor Restorative Services —fillings
  • Major Restorative Services —crowns
  • Prosthodontic Services —bridges, implants and dentures
  • Relines and Repairs —to bridges, implants and dentures
20% 35% 50%
Orthodontics
Orthodontics —braces 0% 0% 0%
Maximums & Deductibles
Benefit Year Maximum —per person applies to all services $750 $1000 $1250
Benefit Year Deductible —per person/per family, applies to basic & major services $50/$150 $50/$150 $50/$150
Allowed Amounts
Allowed Amount —in- and out-of-network providers PPO Fee PPO Fee PPO Fee














 

Copyright by SmartHealthDental.com 2017. All rights reserved.

Smart Health Dental is a national dental plan that is dedicated to providing you with the best service in the industry. We are committed to developing quality dental products that provide consumers with the best value and choices in the insurance industry.

The Smart Health Dental PPO insurance policy is underwritten by Renaissance Life & Health Insurance Company of America, Indianapolis, IN, and in New York by Renaissance Life & Health Insurance Company of New York, New York, NY. Products and services referred to may not be available in all states and jurisdictions. There is no ownership affiliation between Renaissance and Smart Health Dental. For complete coverage details, please refer to the certificate of insurance.

Membership in Communicating for America, Inc. (CA) is required to enroll for coverage under the Smart Health Dental PPO insurance policy offered. CA membership provides non-insurance discounts like prescription drug discounts and a vision discount program. CA will communicate member information to you via email or by directing you to their website. Should an individual decide to enroll in the dental insurance policy, he or she will be prompted during the enrollment process to confirm acceptance of membership in CA.

*Certain restrictions apply; please call or email us for full details.

1Renaissance Partner Network Data 2016