An Altus Dental Plan for AAA Members
Annual Maximum: $1,000 per member, per policy year
Annual Deductible: $25 per member for in-network services, $250 per member for out-of network services
Services are covered up to our Maximum Allowable charge.
To be covered, services must be dentally necessary and in accordance with Altus Dental's treatment guidelines. All services must be performed in a dental office.
Preventive/Diagnostic Services
In Network: Plan pays 100%
Out-of-Network: Plan pays 80%*; Deductible applies
Preventive/Diagnostic Services
In Network: Plan pays 80%; Deductible applies
Out-of-Network: Plan pays 64%*; Deductible applies
Basic/Minor Restorative Services
In Network: Plan pays 80%; Deductible applies; 6-month waiting period applies
Out-of-Network: Plan pays 64%*; Deductible applies; 6-month waiting period applies
Major Restorative Services
In Network: Plan pays 80%; Deductible applies; 12-month waiting period applies
Out-of-Network: Plan pays 64%*; Deductible applies; 12-month waiting period applies
Note: A pretreatment estimate is recommended for Major Restorative Services.
Dependent Coverage
Dependent children are covered up until the end of the year that they turn age 19.
*This percentage is based on the reasonable and customary dentist’s charge in a particular geographic area.
To review exclusions & limitations, click here.