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Dental Pediatric Plans

Pediatric Benefits Child
Deductible Amount $50
Out-of-Pocket (OOP) Maximum $700
Plan Year Maximum None
What the employee pays after meeting the deductible
Orthodontics Not Covered
Preventive and Diagnostic 10%
Minor Restorative Services 25%
Major Restorative Services 50%
Waiting Period
Minor Restorative Services None
Major Restorative Services None

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