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sample of covered services |
benefit level |
|||
PLAN A |
PLAN B |
|||
preventive & diagnostic
• Oral Exams & Cleanings |
100% |
50% |
||
basic dental services
• Fillings & Restorative Services |
50% |
50% |
||
After 12 month waiting period: |
||||
major dental services
• Crowns |
50% |
50% |
||
annual deductible (per insured - applies only to basic & major services only) |
$50 |
$50 |
||
annual maximum (per insured) |
$1000 |
$850 |
||
STANDARD INSURANCE PLAN “A”
As a parent, you face tough decisions and make sacrifices on a daily basis. 
You understand that time is money and you need a dental plan that gives you the coverage your family needs at a premium you can afford. The Encore DentalSM Plan A was designed with you in mind. The plan provides you guaranteed acceptance with the flexibility to stay with your trusted dentist, while receiving the basic and major dental work your family needs for a healthier and happier smile.
comparable to employer benefits
Now you can easily afford to add dental coverage for your entire family. Coverage is available for children up to age 19 and/or up to age 25 if still in school and unmarried. Texas residents can receive coverage for their children up to age 26 if unmarried. Your spouse and children will receive the same product benefits listed on the chart to the right, and children aged 16 or under will also receive sealants and fluoride treatments as part of their preventive dental care.
stay with your own trusted dentist
Flexibility and convenience are an important part of the Encore Dental’s Plan A. So, you're free to use any dentist you choose, anywhere in the country. 
The program has been designed to make it easy for your family to continue to use your current dentist, or you can also choose one of over 80,000 network provider locations for even greater benefits. You never need a referral or "permission" to visit a dentist. To see if your dentist is in Encore Dental’s provider network, you can click here.
up to 100% of preventive care
At Encore DentalSM , we understand the value and importance of consistent dental hygiene, cleanings and exams. Everybody wins with good preventive care. The early diagnosis of issues before they get bigger can save your family money, time and discomfort. That is why Plan A covers up to 100% of preventive and diagnostic services including oral exams, cleanings and x-rays with no deductible for these services. So you get the kids to brush and we’ll help you avoid those costly cavities.
guaranteed acceptance regardless of current health
That’s right. With Plan A your acceptance is guaranteed, which means that your coverage for preventive and basic care will start immediately. After 12 months, your coverage for major dental work like root canals and crowns – expensive procedures that typically cost hundreds of dollars - will kick in. With Plan A you receive benefits up to 50% on these services, which means you can significantly reduce your family’s dental bills and focus on the more important things...like spending time together.
no claim forms or paperwork
You have enough to do juggling school schedules, after-school sports, music lessons and play dates. The last thing you need is to wrestle with claim forms and time consuming paperwork. When you use one of the over 80,000 dentist locations that make up our plan’s network, you will never need to submit claim forms or paperwork. The plan’s network providers will take care of that for you. Simply submit a covered claim to us and you will receive a check in 10-15 days on average.
covers over 300 dental procedures
What good is a dental plan that excludes many of the most common dental services? Plan A includes up to 100% coverage on preventive and diagnostic services (including check-ups, cleanings and x-rays) as well as up to 50% on basic dental work (such as fillings) – with no waiting period! And after 12 months, you'll have coverage for major dental work like root canals and crowns - expensive procedures that typically cost hundreds of dollars. With Plan A you'll receive up to 50% coverage for these services.
meets needs as well as budget
We recognize that your dental needs are as unique as the individual members of your family. That is why we also offer Standard Insurance Plan B, a sister program to Plan A, that allows you to reduce your monthly premium by giving you the option to choose a different level of preventive coverage and annual benefit maximum. 
Coverage for basic care and major care remains the same (see benefit chart for comparison). Perfect for budget conscious families, Plan B offers quality service and care at a reduced premium.
control out of pocket expenses
The Encore DentalSM plans already offer you coverage at an affordable rate. But our commitment to helping you reduce the premium of your dental coverage extends even further. Now, if you schedule your monthly premium to be paid using your debit card, credit card or an automatic bank deduction, we’ll discount your premium 10%.
