You may keep the same plan design you now have or choose our new lower cost ‘Low Plan’
option. You may still visit any dentist you choose!
High Plan (Current Plan Design) Low Plan (NEW option)
$2,000 Annual Maximum
All Procedures
6
$1,000 Annual Maximum
Preventive Procedures do not reduce this maximum*
No Deductible $25 Deductible (waived for Preventive Procedures)
Preventive – Covered at 100% Preventive – Covered at 100%
Oral Exams & Cleanings – 2 per calendar year Oral Exams & Cleanings – 2 per calendar year
Topical Fluoride Application – 1 per calendar year (Adult & Child) Topical Fluoride Application – 1 per calendar year (Child only)
Bitewing X-rays - 1 set per calendar year Bitewing X-rays - 1 set per calendar year
Full Mouth X-rays – 1 per 60 months Full Mouth X-rays – 1 per 60 months
Palliative (Emergency Treatment) Palliative (Emergency Treatment)
Oral Cancer Screening Oral Cancer Screening – NOT COVERED
Basic – Covered at 60% Basic – Covered at 50%
Fillings – Amalgam & Resin Fillings – Amalgam & Resin
Periodontal Services (gingivectomy, gingivoplasty, osseous
Periodontal Services (gingivectomy, gingivoplasty, osseous
surgery, scaling, and root planing)
surgery, scaling, and root planing)
Periodontal Maintenance after Therapy – 4 per year
(less number of cleanings received)
Periodontal Maintenance after Therapy – 2 per year
(less number of cleanings received)
Periodontal Surgery Periodontal Surgery
Simple & Surgical Extractions/Oral Surgery Simple & Surgical Extractions/Oral Surgery
Endodontics/Root Canals Endodontics/Root Canals
General Anesthesia General Anesthesia
Consultations Consultations
Denture Repair
Major – Covered at 50% Major – Covered at 50%
Bridges & Dentures– Replace once every 5 years Bridges & Dentures – Replace once every 5 years
Denture Relining, Rebasing & Adjustments Denture Repair, Relining, Rebasing & Adjustments
Tissue Conditioning Tissue Conditioning
Crowns – 1 per tooth every 5 years Crowns – 1 per tooth every 5 years
Implants Implants – NOT COVERED
Monthly Rates High Plan Low Plan
Member Only $ 47.76 $ 36.12
Member & Child(ren) $ 74.40 $ 70.56
Member & Associate ** $ 95.52 $ 72.24
Member & Spouse $ 107.48 $ 86.56
Member, Spouse & Child(ren) $ 133.68 $ 119.96
* This means you can have 2 cleanings and exams and still have $1000 left for any Basic or Major procedures.
** Associate is a dues-paying spouse of an active NCRGEA Member.
This highlight sheet contains a sample listing of procedures. See your dental certificate for a full listing of procedures, frequencies, and
exclusions.