This in-network plan offers a higher level of coverage for preventative care and minor restorative procedures, and core coverage for major restorative procedures with the highest per person pay out at effective monthly premiums. Monthly premiums can be found in the Benefits Guide (PDF).

It is important to note that services are based on a rolling 12-month period, not a calendar year period. For example, diagnostic/preventive evaluations are covered twice in a rolling 12-month period.