Dental Insurance | Dental Health Plan in ND | Nationwide - Foundation Dental - Protector I and Foundation Vision

Foundation Dental - Protector I and Foundation Vision

Dental Insurance in North dakota

Benefits & Coverage

Insurance Type
Dental Insurance
Insurance Provider
Nationwide
Plan Type
PPO
Deductible
$0
Coverage Maximum
$500
Enrollment Fee
$9.94

Cost & Coverage

Coinsurance - Preventive
0%
Coinsurance - Basic
PPO Discount
Coinsurance - Major
PPO Discount
Annual Out Of Pocket
$500 per policy year
Office Visit
No Charge; 3 month waiting period
Annual Maximum Benefit
$500
Cleanings
No Charge; 3 month waiting period
Restorative Dentistry/Fillings
PPO Discount
Oral Surgery
PPO Discount
Extractions
PPO Discount
X-Rays
PPO Discount
Crowns
PPO Discount
Root Canals
PPO Discount
Periodontics
PPO Discount
Dentures
PPO Discount
Topical Fluoride
No Charge; 3 month waiting period*
Sealant
No Charge; 3 month waiting period*
Bridges
PPO Discount

Vision Benefits & Coverage

Service or Material
Frequency Limitations
Participating Provider
Non-Participating Provider
Low Vision - Supplemental Aids
Once every 2 years
75% of participating provider fee, up to $1,000
75% of Open Access provider fee, up to $1,000
Low Vision - Supplemental Testing
Up to twice every 2 years
Covered in full
Reimbursed up to $125
Maximum benefit for all Low Vision services and materials
$1,000
$1,000
Contact Lenses, Visually Necessary
Once every 24 months
Covered in full
Covered in Full to a maximum of $210
Contact Lenses - Fitting and Evaluation
Once every 24 months
Covered in full after $60 Copay
Contact Lenses, Elective - Materials Only
Once every 24 months
Covered in full to a maximum of $130
Covered up to a maximum of $105
Frames
Once every 24 months
Covered in full to a maximum of $130
Covered up to a maximum of $70
Lenses, Lenticular
Once every 24 months
Covered in full after $25 Copay
Covered up to a maximum of $100
Lenses, Lined Trifocal
Once every 24 months
Covered in full after $25 Copay
Covered up to a maximum of $65
Lenses, Lined Bifocal
Once every 24 months
Covered in full after $25 Copay
Covered up to a maximum of $50
Lenses, Single Vision
Once every 24 months
Covered in full after $25 Copay
Covered up to a maximum of $30
Eye Examination
Once every 12 months
Covered in full after $10 Copay
Covered up to a maximum of $45

Dentist Directory

List of dentist that accepts Foundation Dental - Protector I and Foundation Vision Dental Plan in ND

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Johnson, Krista
1650 45th St S
Fargo, ND 58103
Schneibel, Kathryn
1650 45th St S
Fargo, ND 58103
Boe, Thomas
1900 28th Ave S
Moorhead, MN 56560
Details
Krista Johnson, D.M.D.
Phone Number
(701) 526-4652
Office Locations
1650 45th St S
Fargo, ND 58103
1650 45th St S Fargo ND, 58103

Similar Plans

Similar Plans to Foundation Dental - Protector I and Foundation Vision in ND

PremiumPlan NameDeductible
$11.95
Foundation Dental - Protector I
$0
$17.40
Foundation Dental - Defender
$50
$24.28
Foundation Dental - Defender and Foundation Vision
$50
$31.30
Foundation Dental - Guardian
$50
$38.18
Foundation Dental - Guardian and Foundation Vision
$50
$39.00
USA+ Access III
$50
$49.00
USA+ Access II
$100
$69.00
USA+ Select I
$70

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