retiree dental

The Retiree Dental Plan, administered by Aetna, provides benefits for preventive dental care and other services that are essential to the proper care of your teeth.

who's eligible

Under current plan provisions, if you retire from CRC at age 55 or older with at least 10 years of CRC service, you and your eligible dependents are eligible for retiree medical and dental coverage. Refer to the summary plan description for eligibility details.

retiree dental plan rates

You pay the full cost of retiree dental coverage.  Your dental plan contributions are based on the family coverage level you select. See 2016 Retiree Dental Plan rates.

how the retiree dental plan works

Take a quick look at the key features of the Retiree Dental Plan. For details, review the summary plan description.

plan features

Benefit

Annual Deductible

$50 per individual / $150 per family

Benefit Maximums

 
  • Annual maximum
$2,000 per covered individual per calendar year
  • Lifetime maximum
Unlimited, except for orthodontic
  • Lifetime orthodontic maximum
$2,500 per covered dependent under age 19

covered services

What You Pay

Preventive and Diagnostic Services

  • Routine oral exams
  • Cleaning and scaling of teeth
  • Bitewing and diagnostic X-rays
  • Fluoride application (dependents under age 16)
  • Sealants
  • Space maintainers
  • Problem-based exams

Covered 100%, no deductible

Restorative Services

  • Simple extractions
  • Oral surgery
  • Fillings, except gold
  • Repair or re-cementing of crowns, inlays, bridgework, dentures
  • Relining of dentures
  • Treatment of diseases of the gums and tissues of the mouth (periodontics)
  • Endodontic treatments such as root canals
  • General anesthesia, if medically necessary

20% after deductible

Major Services

  • Crowns, inlays or gold fillings
  • Dentures
  • Fixed bridgework (including inlays and crowns as abutments)

50% after deductible

Orthodontic Services
Braces and other orthodontic treatment for dependents under age 19


50%, no deductible
Up to lifetime benefit of $2,500

 

 

 

related sites

Aetna  »

Find a Dentist  »
(Network: Dental PPO/PDN with PPO II)

forms/docs

Dental Claim Form   »

Retiree Dental SPD  »