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Insurance Benefits Estimator
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1 Complete Year or Replacement
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Benefits Summary
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Dental Wellness Benefits (exams, x-rays, etc.) are limited to $75 per 5 months for a total of $150 per year.
Items not specifically listed are not covered. Actual policy provisions apply.
Zip Codes
Region
Fee Schedule
752,753,770-772
4
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750,751,760-762
3
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773-775,787
3
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All Others
2
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