Click on one of the links below to download a brochure (PDF).

Level 2 - Intermediate

*These fees represent the average of the assigned Careington Care POS Series fees in the the
Los Angeles, Orlando, Chicago and New York City metropolitan statistical areas.
**Regular cost is based on the national average of the 80th percentile usual and customary rates as detailed
in the 2014 FairHealth Report in the Los Angeles, Orlando, Chicago and New York City areas.
Prices subject to change.

Dental coverage
Here are the benefits you receive:

 Services Benefit
  Preventive services
Includes: cleanings, exams, x-rays, fluoride and sealants.
Two visits per person each policy year, separated by at
least 150 days.
$100/visit
  Basic services
In the first policy year, payments are 50% of the per-service
benefit. After the first year, payments are 100% of the
per-service benefit.
 
     • Anesthesia $70-$275/service
     • Fillings $90-$375/service
     • Extractions $80-$100/service
     • Denture Adjustment and Repair $55-$350/service
  Major services
In most states2 there is a 180-day waiting period on major services. After the waiting period, payments are 50% off per-service benefit for the remainder of the first policy year. After the first year, payments are 100% of the per-service benefit.
 
     • Anesthesia $20-$375/service
     • Crowns $40-$450/service
     • Endodontics $30-$400/service
     • Periodontics $30-$325/service
     • Dentures $275-$400/service
     • Fixed Prosthodontics $175-$375/service
     • Oral Surgery $75-$1,000/service
     
  Annual maximum
The maximum calendar-year benefit for Basic and Major services. Preventive services benefits do not take away
from Basic services benefits.

$1,500/year for
Basic Services

2The 180 day waiting period applies in all states except KS.


Limitations and Exclusions

This plan provides limited benefits for specified dental services and treatment. It's not a major medical
insurance plan and does not provide benefits for: Procedures before the effective date, after the
termination date of coverage, during a waiting period, or in excess of the maximum calendar year
benefit; preventive services performed within 150 days of previously submitted preventive services;
repairs to dental work within 180 days of the initial procedure; replacement prosthetics, crowns, inlays
or onlays within 5 years of the previous placement; dental implants or the removal of implants; cosmetic services, unless performed to correct a functional disorder; orthodontic treatment and services;
replacement of any tooth missing prior to the effective date; placement of full or partial dentures,
including Maryland Bridge, unless replacing a functioning natural tooth extracted while you were
covered; procedures performed by a person other than a dentist or dental hygienist or by an insured's immediate family member. This provides a summary of benefits, limitations and exclusions. In certain
states, an outline of coverage is available from the agent or insurer. Please refer to the outline of
coverage for a description of the important features of the dental benefit plan. Please read the
coverage documents carefully for a complete listing of benefits, limitations and exclusions.
Plans subject to state availability. Careington Discount Card may be discontinued with notice.


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Careington Sample Savings Chart

Description

*Regular Cost

**Plan Cost

Savings $

Savings %

Adult Cleaning

$118

$59

$59

51%

Child Cleaning

$83

$43

$40

49%

Routine Checkup

$69

$30

$39

56%

Four Bitewing X-rays

$80

$38

$42

52%

Composite (white) Filling Code

$188

$91

$97

51%

Crown
(porcelain fused to noble metal)

$1,332

$742

$590

44%

Complete Upper Denture

$1,911

$985

$926

48%

Molar Root Canal

$1,299

$718

$581

45%

Extraction (single tooth)

$221

$100

$121

55%

Average Savings:

50%

* Regular cost is based on the national average of the 80th percentile usual and customary rates as detailed in the 2013
FairHealth Report in the Los Angeles, Orlando, Chicago and New York City metropolitan statistical areas.

** These fees represent the average of the assigned Careington Care Series fees in the Los Angeles, Orlando, Chicago and New York City metropolitan statistical areas.

**Prices subject to change

A simple, affordable
plan for good health


Dental coverage pays cash benefits
that help you pay for dental checkups
and treatment.

No waiting periods for check-ups - you get $100 for a visit every six months
Get a set cash amount for each dental treatment such as extraction or a filling.
Visit any dentist - no network restrictions.
Receive cash benefits directly, or allow your dentist to submit the claim and receive the payment.
In most states, apply for coverage through age 70 and renew up to age 75. (Apply through age 64 and renew up to age 70 in CO, MA, MD, NC, NJ, OH, SD and UT.)



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