Name: Plan III
Brand: Renaissance

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person 90001 | Applicant,35 edit

$49.47 /mo.

Dentist Search

Plan III

Plan Type PPO

Dentist Search

$49.47 /mo.

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Plan Highlights

Plan III gives you peace of mind, so you''ll never have to worry about having a healthy smile.

Freedom to visit any licensed dentist, while saving money using a dentist in our network
No waiting periods, on preventive care with 100% coverage
Higher percentage of coverage for minor restorative work vs. Plan II
$1,000 annual maximum
Low $50 deductible

Note: Policies have exclusions and limitations that may limit coverage

Common Procedures

Details

Fee Schedule: N/A | Dentist Search

Exams: Routine periodic examinations (including bitewing X-rays and fluoride treatments up to age 14) – twice per benefit year
In Network – 100%
Out of Network – 80%
Preventive (Class I Benefits) – No waiting period

Cleanings: In Network – 100%
Out of Network – 80%
Preventive (Class I Benefits) – No waiting period

X-Rays: Radiography: bitewing X-rays – once per benefit year
full mouth X-rays (which include bitewing X-rays) – once in any five consecutive years
In Network – 80% after deductible
Out of Network – 60% after deductible
Basic (Class II Benefits) – 6 months waiting period

Fillings: Fillings: amalgam (silver) and composite resin (white)
In Network – 80% after deductible
Out of Network – 60% after deductible
Basic (Class II Benefits) – 6 months waiting period

Extractions: Simple Extraction including local anesthesia, suturing, if needed and routine post-operative care
In Network – 80% after deductible
Out of Network – 60% after deductible
Basic (Class II Benefits) – 6 months waiting period

Crowns: In Network – 50% after deductible
Out of Network – 50% after deductible
Major (Class III Benefits) – 12 months waiting period

Root Canals: Endodontics: Pulpal therapy and root canals
In Network – 50% after deductible
Out of Network – 50% after deductible
Major (Class III Benefits) – 12 months waiting period

Dentures: In Network – 50% after deductible
Out of Network – 50% after deductible
Major (Class III Benefits) – 12 months waiting period

Deep Cleanings: Treatment of diseases of the gums and supporting structures of the teeth
In Network – 50% after deductible
Out of Network – 50% after deductible
Major (Class III Benefits) – 12 months waiting period

Implants: In Network – 50% after deductible
Out of Network – 50% after deductible
Major (Class III Benefits) – 12 months waiting period

Braces / Orthodontia: Not Covered Service

Teeth Whitening: Not Covered Service

Additional Network Information:

The Renaissance PPO network combines leading national and regional PPO networks to offer you maximum choice and value. You can find a participating dentist using the search tool below. If you decide to contact a dental office directly, please refer to the following network partners that a dental office will likely recognize:

Maximum Care
Connection Dental
Maverest Dental Network (formerly Dental Wellness Partners)

NOTE FOR NEW YORK RESIDENTS: THESE POLICIES PROVIDE DENTAL INSURANCE ONLY. THE EXPECTED BENEFIT RATIO FOR THESE POLICIES ARE AS FOLLOWS: PLAN II (63.9%) and PLAN III (69.1%). THESE RATIOS ARE THE PORTION OF FUTURE PREMIUMS THAT THE COMPANY EXPECTS TO RETURN AS BENEFITS, WHEN AVERAGED OVER ALL PEOPLE ON THESE POLICIES.

Exclusions and Limitations
Privacy Policy
Plan Brochure

FAQ

Can I change my dentist once I am in the plan?

Yes, you may change your dentist at any time.

What is a pre-existing condition versus work-in-progress? Is it covered?

What provider options do I have?

When can I start using my Plan?

When will I receive my new member kit and what will it include?

Who can enroll in this plan?

Underwriter Address:
Renaissance Life & Health Insurance Company of America
P.O. Box 1596
Indianapolis, IN 46206

and in New York by:
Renaissance Health Insurance Company of New York
Binghamton, NY

Disclaimers & Disclosures

Note: The above summary is a sample of benefits. Policies have exclusions and limitations that may limit coverage. For complete coverage details, please refer to your policy (in Oregon, refer to policy INVD-100A-OR v2). These dental plans are available exclusively to members of organizations offering Renaissance Dental to them. Underwritten by Renaissance Life & Health Insurance Company of America, Greenwood, IN, and in New York by Renaissance Health Insurance Company of New York, New York, NY.

Products and services referred to in this brochure are not available in all states or jurisdictions.

Underwritten by:
Renaissance Life & Health Insurance Company of America P.O. Box 1596 Indianapolis, IN 46206

and in New York by:
Renaissance Health Insurance Company of New York, Binghamton, NY

This website provides a very brief description of some of the important features of this plan. It is not the insurance contract, nor does it represent the insurance contract. A full description of benefits, exclusions and limitations is contained in the Schedule of Benefits and your policy.

Rates shown are based upon the information you provided, and are subject to change based on the dental and/or vision plan's underwriting practices and your selection of available optional benefits, if any. Final rates and effective dates are subject to underwriting and are always determined by the dental insurance and/or vision insurance company. To be considered for reimbursement, expenses must qualify as covered expenses.

This site was designed to provide you with a general description of the plans you requested. Keep in mind that it does not include all the benefits and limitations outlined in the policies -- it is the insurance contract, not the general descriptions on this website, which forms the contract between you and the insurance company.

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