UFCW 1518 Dental Plan
Basic Restorative and Preventive Services
The Plan will pay 90% of basic restorative and preventive services.
Diagnostic Services
The basic procedures necessary to help the dentist evaluate existing conditions and determine the required dental treatment:
- Oral examinations - two per year.
- A complete oral examination once in any three calendar year period but not within six months of the last examination.
- X-rays including a Full Series up to the maximum established by MEBS for the calendar year. Full Series are limited to once in any three calendar year period.
- Consultations by a dentist other than the practitioner providing treatment.
Preventive Services
The basic procedures necessary to prevent oral disease, including:
- Prophylaxis and topical application of fluoride - 2 per year.
- Scaling.
- Band and loop space maintainers - to maintain space
Surgical Services
The basic procedures necessary for extractions and other basic surgical procedures normally performed by a dentist.
Restorative Services
The basic procedures necessary for fillings: amalgam, silicate, plastics and synthetic porcelain, as well as stainless steel crowns. Inlays, onlays and gold foils will be covered only when other materials cannot be used satisfactorily. Patients choosing gold where other materials would suffice will be responsible for the difference in cost. X-rays and study models may be required by MEBS before treatment begins.
Prosthetic Repairs
The basic procedures required to repair or reline fixed or removable appliances. Repairs to complete upper and/or lower dentures may be performed by either a licensed dentist or a duly licensed dental mechanic.
Enddontics
The basic procedures necessary for pulpal therapy and root canal filling.
Periodontics
The basic procedures necessary for the treatment of diseases of the tissues and the bone surrounding and supporting the teeth.
