2022 United Stated Benefits Options

Lincoln Dental

In Network

Out of Network

Deductible

$50 single/$150 family

$50 single/$150 family

Annual Max allowed per Benefit Period Class I: Preventive Services Routine oral exams and cleanings, x-rays (bitewing), sealants & fluoride treatments, space maintainers Class II: Basic Services Periodontics (surgical and non), endodontics (root canals), oral surgery, fillings, prosthetic maintenance & x-rays (full mouth)

$1,500

$1,000

Covered at 100% Covered at 100% of usual and customary

Covered at 100% Covered at 80% of usual and customary

Class III: Major Services Prosthodontics, crowns, inlays/onlays, dentures, implants & bridges

Covered at 60% Covered at 50% of usual and customary

Orthodontia Lifetime Maximum - $1,000 Covered at 50% Covered at 50% of usual and customary To find an in-network dentist near you, visit www.LincolnFinancial.com/FindADentist

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