Dental

	In-Network	Out-of-Network
Deductible	$50 individual / $150 family	$50 individual / $150 family
Annual Maximum Benefit	$1,500
Orthodontia Lifetime Maximum	$1,000
Type A: Preventive Care	100% (Not subject to Deductible)	80% (Not subject to Deductible)
Type B: Basic Care	80%	60%
Type C: Major Care	50%	50%
Orthodontia	50%	50%