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Northern California Physician “Benefits Overview”
Health Benefits: Dental Coverage

TPMG provides Delta Dental coverage for you, your spouse/domestic partner, and dependent children (up to age 25).

Premiums are corporate paid
   
Coverage begins the first of the month following your date of hire
   
Maximum benefit per year is $2,000 per eligible dependent
   
Diagnostic and preventative services are paid at 100% of reasonable and customary charges
   
The plan provides for up to four cleanings and two oral exams per person per year
   
Basic benefits coverage pays:
 
  • 70% of reasonable and customary charges in the first year
  • 80% the second year
  • 90% the third year
  • 100% thereafter (provided you and each of your eligible dependentsreceive services each year)
   
Prosthodontic benefits coverage pays:
 
  • 60% to replace missing, natural teeth (bridges, partial or complete dentures, dental implants)
   
Orthodontia coverage pays:
 
  • 50% of eligible charges for covered dependents under age 18
  • Maximum lifetime benefit of $2,000 for orthodontia