Deductible $0 Annual Plan Maximum $1,000 (per person) Preventive Services 100% Covered Exams, Cleanings, Fluoride, X-Rays Basic Services 80% Covered Fillings, Extractions, Endodontics, Crown Repairs Major Services 50% Covered Crowns, Dentures, In/Onlays, Periodontics Orthodontia Services 50% Covered For child(ren) up to age 19 Orthodontia Lifetime Maximum $1,000