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Golden Dental Plans, Inc.
Underwriting Terms
DENTAL HEALTH PLUS PLAN
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Individual business owners must pay annually
(must be a member of an association / chamber)
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Groups with less than 25 participants must pay annually
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Groups with more than 25 participants may pay
monthly
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First of the month effective date - ONLY -
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Rates are guaranteed for a one-year period and may
be adjusted upon renewal
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Open enrollment annually
GDP's Dental Health Plus Plan covers the diagnosis,
prevention and restoration of dentition caused from oral disease
conditions.
COVERED SERVICES ARE SUBJECT TO THE FOLLOWING
LIMITATIONS
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Oral examinations, routine preventative cleanings,
fluoride treatments are covered twice in any twelve (12) month
period.
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Crowns, if a tooth can be restored with amalgam or
composite resin, these will be materials used to restore the
tooth. The judgment will be solely that of the Participating
Dentists.
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Replacement dentures, partial dentures, crowns and
bridges after five years, if unserviceable.
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In matters of coordination of benefits, this plan is
always secondary.
EMERGENCY AND OUT OF TOWN COVERAGE
If an emergency occurs outside the "geographic area" of
your GDP dental center, you may seek "emergency treatment"
from a dentist in the area. GDP will reimburse you for actual
costs to a maximum of $50. Simply send GDP a copy of the bill,
include the subscribers name, address and social security number.
EXCLUSIONS
- Conditions caused by accident, trauma or neglect
- Dental treatment performed in a hospital
- Dental services for cases in which in the professional judgment of
the participating dentist, a satisfactory result cannot be obtained.
- Dental services for any condition for which benefits of any nature
are recovered or found to be recoverable whether by adjudication or
settlement under any Workers Compensation or Occupational Disease
Law, even though the Subscriber fails to claim the right to such
benefits, provided that this exclusion shall only apply to the
extent that such benefits are payable through such other plans
- Dental services to increase vertical dimension to restore
occlusion or restore tooth structure lost to attrition
- Treatment of (TMJ) Temporal Mandible Joint Disorder
- Surgical Orthodontics
10% Discount for Approved Chambers!
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