Orthodontia Lifetime Maximum Benefit

PPO: $1,200 lifetime maximum benefit for children under 19 (this benefit is available for each participant under age 19 after 9 full months of coverage under this Plan)

Non-PPO: $1,200 lifetime maximum benefit for children under 19 (this benefit is available for each participant under age 19 after 9 full months of coverage under this Plan)

The Calendar Year and Lifetime Maximum Orthodontic Benefit that will be paid for a covered dependent child under age 19 for orthodontic treatment is shown in the Schedule of Benefits. (A covered dependent must have accumulated 9 full months of coverage prior to the commencement of orthodontic work.) The amount of benefits for Orthodontic Charges will be paid as follows: 

1. $300 - banding
2. $300 - first six months of adjustments
3. $300 - second six months adjustments
4. $300 - third six months of adjustments

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