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Spirit Core PPO 1200

<<Back to Plans	Spirit Core PPO 1200 (PPO)
Individual:	$34.51/mo
Individual +1:	$70.88/mo
Family:	$118.28/mo
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Deductible:	$100 Lifetime
Max. Annual Benefit:	$1,200.00
Cleaning:	Plan Pays Year 1 Year 2 Year 3 100% 100% 100% Waiting Period: No Waiting Period!
X-ray:	Plan Pays Year 1 Year 2 Year 3 50% 65% 80% Waiting Period: No Waiting Period!
Filling:	Plan Pays Year 1 Year 2 Year 3 25% 50% 50% Waiting Period: No Waiting Period!
Root Canal:	Plan Pays Year 1 Year 2 Year 3 25% 50% 50% Waiting Period: No Waiting Period!
Crown:	Plan Pays Year 1 Year 2 Year 3 25% 50% 50% Waiting Period: No Waiting Period!
Oral Surgery:	Plan Pays Year 1 Year 2 Year 3 25% 50% 50% Waiting Period: No Waiting Period!
Extractions:	Plan Pays Year 1 Year 2 Year 3 25% 50% 50% Waiting Period: No Waiting Period!
Implants:	Plan Pays Year 1 Year 2 Year 3 25% 50% 50% Waiting Period: No Waiting Period!
Implants Included:	Yes
Orthodontia:	Yes - See Brochure for Details
Vision Benefit:	Available - See Brochure for Details
Plan Highlights:
Application Fee:	$25.00
Effective Date:	04/27/2024
Dentist Search:	Dentist Search
Plan Brochure:	View Plan Brochure
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