mycornmarket dental-teamcare-3-benefits

TeamCare Level 3 Plan - Benefits

Applicable to new registrations or renewals on or after 1st November, 2015. This Schedule of Benefits must be read in conjunction with the DeCare Dental Terms and Conditions Booklet.

Section 1 - Investigative and Preventive Treatment – No Waiting Period Benefit Limit 

Examinations

  • Two times per calendar year 100%

Scaling and polishing

  • Two times per calendar year 100%

Radiographs (x-rays): 

Bitewings coverage:

  • 1 series per 12 month period for insured persons up to the age of 18 years 100%
  • 1 series per 24 month period for insured persons over 18 years 100%

Full Mouth (Complete Series) or Panoramic

  • Covered once per 60-month period 100%

Periapical(s)

  • 4 single x-rays are covered per 12-month period 100%

Occlusal

  • 2 series per 24-month period 100%

Section 2 - Emergency Treatment – No Waiting Period Benefit Limit

Once per 12 month period for the immediate, temporary relief of pain or infection 100%

Section 3 - Basic treatment – 3 month waiting period applies (Benefit Limit)

Restorations (fillings)

  • Once per tooth surface per 24 month period -70%

Pre-fabricated or Stainless Steel Crowns

  • Once per tooth per 60-month period for eligible dependant children up to the age of 19- 70%

Sealants

Once per tooth per lifetime for permanent first and second molars of eligible dependant children up to the age of 16-70%

Space Maintainers

Once per tooth per lifetime on eligible dependant children up to the age of 17 for extracted primary posterior (back) teeth- 70%

Periodontal Treatment

  • Periodontal scaling and root planing - once per quadrant per 36 month period - 70%
  • Full mouth debridement - once per tooth per lifetime - 70%
  • Periodontal maintenance - once per 24 month period - 70%

Tooth extractions

  • Tooth extraction - once per tooth per lifetime - 70%

Section 4 - Major treatment – 12 month waiting period applies Benefit Limit

Endodontic Therapy on Primary Teeth

  • Pulpal therapy - once per tooth per lifetime 70%
  • Therapeutic pulpotomy - once per tooth per lifetime 70%

Endodontic Therapy on Permanent Teeth

  • Root canal therapy - once per tooth per lifetime 70%

Prosthetic Services - Dentures

  • Removable prosthetic services (Dentures) - once per 5 year period 70%
  • Reline and rebase - 1 per 24 month period 70%
  • Repairs, replacement of broken artificial teeth, replacement of broken clasp(s) - 1 per 6 month period 70%
  • Denture adjustments - 2 times per 12 month period 70%

Prosthetic Services - Bridge and Implant Supported Crowns

  • Fixed prosthetic services (Bridge) - once per 5 year period 70%
  • Bridge adjustments - 2 times per 12 month period 70%
  • Implant supported crowns - once per tooth per 5-year period 70%

Crowns, Inlays and Onlays

  • Permanent crowns, inlays and onlays - once per tooth per 5-year period 70%
  • Crown repair - once per tooth per 12 month period 70%
Please Note:

A separate annual maximum of €500 per period of insurance applies to crowns,inlays and onlays.

Section 5 - Orthodontics - 18 Month Waiting Period (Benefit Limit)

Orthodontic treatment:

Orthodontic benefit is available for eligible dependent children aged 8 to 18 years.              €1,000

Subject to a separate lifetime maximum of €1,000 per insured person

Section 6 – Annual Policy Maximum Benefit Limit

This applies to all sections of your plan (excluding crowns, inlays and onlays which has a separate maximum of €500). Maximum benefits may not be carried over to future years of cover.

  • Annual policy maximum per member per year €2,000

This policy is underwritten by DeCare Dental Insurance Ireland DAC. DeCare Dental Insurance Ireland DAC trading as DeCare Dental and DentalCover.ie is regulated by the Central Bank of Ireland