Basic Plan. All services are subject to an annual deductible of $25 per person and $75 per family. After paying the deductible, the plan provides usual, customary, and reasonable (UCR) coverage at 100% for preventive, diagnostic, and restorative services and 80% for major services. Orthodontia is not covered.
Appears in 3 contracts
Samples: Collective Bargaining Agreement, Collective Bargaining Agreement, Collective Bargaining Agreement
Basic Plan. All services are subject to an annual deductible of $25 50 per person and $75 100 per family. After paying the deductible, the plan provides usual, customary, and reasonable (UCR) coverage at 100% for preventive, diagnostic, and restorative services and 80% for major services. Orthodontia is not covered.
Appears in 3 contracts
Samples: Collective Bargaining Agreement, Collective Bargaining Agreement, Collective Bargaining Agreement
Basic Plan. All services are subject to an annual deductible of $25 50 per person and $75 100 per family. After paying the deductible, the plan provides usual, customary, and reasonable (UCR) coverage at 100% for preventive, diagnostic, and restorative services and 80% for major services. Orthodontia is not covered.,
Appears in 1 contract
Samples: Collective Bargaining Agreement
