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

Foundation Dental - Protector I and Foundation Vision

$17.13/mo

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Zip Code87121
Applicant12/16/1983 Male
Coverage Start12/17/2018
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Benefits & Coverage

Insurance TypeDental Insurance
Insurance ProviderNationwide
Plan IDnationwide-dental-protector-nm-vision-bundle
Deductible$0
Coverage Maximum$500
Enrollment Fee$9.94

BridgesPPO Discount
SealantNo Charge; 3 month waiting period*
Topical FluorideNo Charge; 3 month waiting period*
DenturesPPO Discount
PeriodonticsPPO Discount
Root CanalsPPO Discount
CrownsPPO Discount
X-RaysPPO Discount
ExtractionsPPO Discount
Oral SurgeryPPO Discount
Restorative Dentistry/FillingsPPO Discount
CleaningsNo Charge; 3 month waiting period
Annual Maximum Benefit$500
Office VisitNo Charge; 3 month waiting period
Annual Out Of Pocket$500 per policy year
Coinsurance - MajorPPO Discount
Coinsurance - BasicPPO Discount
Coinsurance - Preventive0%

Service or Material

Frequency Limitations

Participating Provider

Non-Participating Provider

Eye ExaminationOnce every 12 monthsCovered in full after $10 CopayCovered up to a maximum of $45
Lenses, Single VisionOnce every 24 monthsCovered in full after $25 CopayCovered up to a maximum of $30
Lenses, Lined BifocalOnce every 24 monthsCovered in full after $25 CopayCovered up to a maximum of $50
Lenses, Lined TrifocalOnce every 24 monthsCovered in full after $25 CopayCovered up to a maximum of $65
Lenses, LenticularOnce every 24 monthsCovered in full after $25 CopayCovered up to a maximum of $100
FramesOnce every 24 monthsCovered in full to a maximum of $130Covered up to a maximum of $70
Contact Lenses, Elective - Materials OnlyOnce every 24 monthsCovered in full to a maximum of $130Covered up to a maximum of $105
Contact Lenses - Fitting and EvaluationOnce every 24 monthsCovered in full after $60 Copay
Contact Lenses, Visually NecessaryOnce every 24 monthsCovered in fullCovered in Full to a maximum of $210
Maximum benefit for all Low Vision services and materials$1,000 $1,000
Low Vision - Supplemental TestingUp to twice every 2 yearsCovered in fullReimbursed up to $125
Low Vision - Supplemental AidsOnce every 2 years75% of participating provider fee, up to $1,00075% of Open Access provider fee, up to $1,000
PremiumPlan NameDeductible
$11.63
Foundation Dental - Protector I
$0.00Select
$18.46
Foundation Dental - Defender
$50.00Select
$23.96
Foundation Dental - Defender and Foundation Vision
$50.00Select
$33.14
Foundation Dental - Guardian
$50.00Select
$38.64
Foundation Dental - Guardian and Foundation Vision
$50.00Select
$39.00
USA+ Access III
$50.00Select
$49.00
USA+ Access II
$100.00Select
$69.00
USA+ Select I
$70.00Select
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Lee, Shaun
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Park, Hyunjung
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Chiem, Becky
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Opack, David
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Vicuna, Emerson
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Grewal, Kapil
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Smith, Timothy
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Hatch, Cameron
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Svitzer, Jack
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Ahn, Yehoon
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Conner, Michael
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Quam, Zellisha
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Sorrell, Darlene
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Shaun Lee, DDS
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  • Phone Number
    (505) 352-3808
  • Office Locations
    111 Coors Blvd Nw
    Albuquerque, NM 87121
111 Coors Blvd Nw Albuquerque NM, 87121

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Dental Plans Found

 

HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, Medicaid or an individual health insurance plan, we will help you find the right healthcare option and save on your out of pocket healthcare costs. We receive our data from government, non-profit and private sources, and you should confirm key provisions of your coverage with your selected health plan. If you select a plan presented on our site, you will be directed (via a click or a call) to one of our partners who can help you with your application. Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan.