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

Foundation Dental - Protector I and Foundation Vision

Dental Insurance in New mexico

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 NM

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Lee, Shaun
111 Coors Blvd Nw
Albuquerque, NM 87121
Opack, David
4201 Central Ave Nw Ste F1
Albuquerque, NM 87105
Vicuna, Emerson
1010 Bridge Blvd Sw
Albuquerque, NM 87105
Kim, Elly
4201 Central Ave Nw
Albuquerque, NM 87105
Chiem, Becky
4201 Central Ave Nw
Albuquerque, NM 87105
Park, Hyunjung
4201 Central Ave Nw Ste F1
Albuquerque, NM 87105
Yang, Jae
4201 Central Ave Nw Ste F1
Albuquerque, NM 87105
Grewal, Kapil
717 Encino Pl Ne
Albuquerque, NM 87102
Smith, Timothy
717 Encino Pl Ne Ste 6
Albuquerque, NM 87102
Quam, Zellisha
9169 Coors Blvd Nw
Albuquerque, NM 87120
Sorrell, Darlene
9169 Coors Blvd Nw
Albuquerque, NM 87120
Svitzer, Jack
9169 Coors Blvd Nw
Albuquerque, NM 87120
Conner, Michael
2800 Coors Blvd Nw
Albuquerque, NM 87120
Ahn, Yehoon
6001 Winter Haven Dr Nw
Albuquerque, NM 87120
Hatch, Cameron
8201 Golf Course Rd Nw
Albuquerque, NM 87120
Details
Shaun Lee, DDS
Phone Number
(505) 352-3808
Office Locations
111 Coors Blvd Nw
Albuquerque, NM 87121
111 Coors Blvd Nw Albuquerque NM, 87121

Similar Plans

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

PremiumPlan NameDeductible
$11.63
Foundation Dental - Protector I
$0
$18.46
Foundation Dental - Defender
$50
$23.96
Foundation Dental - Defender and Foundation Vision
$50
$33.14
Foundation Dental - Guardian
$50
$38.64
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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