How are orthodontics covered under the Dental Expense Plan and DPOs?
Under the Dental Expense Plan, eligible orthodontic services are covered for members under age 19 at a 50 % coinsurance level, up to a lifetime benefit maximum of $1,000. Orthdontic services are only covered if the employee has been a full-time employee for at least 10 months. Under DPOs, patients under 18 years at the start of treatment have a co-payment of $1,000 or 50% of the bill (whichever is less). Patients over 18 at the start of treatment have a co-payment of $1,750 or 50% of the bill whichever is less. There is maximum treatment period of 24 months.
