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City of Orono Dental Proposal <br />-V*lure <br />Dental Plan <br />In Network Out of Network <br />$1500 $1200 <br />None $100 <br />Lifetime <br />100%80% <br />100%80% <br />100%80% <br />100%80% <br />100%80% <br />100%80% <br />70% •50% <br />70% •50% <br />70% •50% <br />70% •50% <br />70% •50% <br />70% •50% <br />70% •50% <br />•after$15 co-pay <br />Same as above <br />$15.75 <br />$30.45 <br />$30.45 <br />$39.90 <br />Annual Maximums <br />Deductibles, per person <br />Preventative and Di^nostic Care <br />• Teeth Cleaning <br />• Examinations <br />• Dental X-rays <br />• Floride Treat <br />• Fillings <br />• Oral Surgeiy <br />• M <br />• • • a.i!tics, doiturcs. <br />Services <br />• Replacement of prosth <br />crowns, and inlays <br />• Periodontics(gum treatment) <br />• Endodontics(root canal therapy) <br />• Major Restorative Services (Crowns, <br />inlays) <br />• Prosthetics (bridges and dentures) <br />• Space maintainers <br />• Oral Surgery <br />Emergency Dental Services <br />• Emergency care through no network <br />dentist <br />Employee only <br />Employee + one(child ^ spouse) <br />Employee + children <br />Full Family