Dental Plan Overview

Dental Plan Overview


Below, please find important highlights relating to the Dental Benefits covered under the Buffalo Teachers Federation Supplemental Benefit Fund. If you have any other questions, please contact the Supplemental Benefit Fund Office at (716) 881-5462.

 

There are a few important highlights teachers should keep in mind when using the dental program:

1. There is no deductible for Single Coverage.

2. There is a $40.00 deductible for family coverage per calendar year.

3. The life-time (per person) maximum allowance for periodontal services is as follows:

a. 21 years or less of service, $2,500.00

b. 21 years or more of service, $3,000.00

c. 26 years or more of service, $3,500.00

d. 31 years or more of service, $4,000.00

e. 36 years or more of service, $4,800.00

4. The life-time (per person) maximum allowance for orthodontic services is $1,100.00.

5. The maximum allowance for teacher members per calendar year (not including periodontal & orthodontic services) is $1,000.00.

6. The maximum allowance for dependents per calendar year (not including periodontal & orthodontic services) is $600.00.

7. The SBF uses the impression date for all reimbursement purposes on prosthodontics (dentures), restorative (crowns), and bridgework services.

8. Teachers having crowns, dentures & bridgework replaced need to check with the SBF to be certain they are eligible for reimbursement.

9. The SBF will cover only bridgework, dentures and crowns once every five years.

10. COBRA may extend dental eligibility of teachers and or their dependents when coverage otherwise would cease. Call the SBF for details.

Remember, any bill submitted for reimbursement must be submitted within 6 months of the date of service.

 

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