Asuris EnhanceSM, Asuris Enhance RewardsSM

and Asuris Enhance ActiveSM dental plans

Aff ordable dental options for your employees

Asuris Northwest Health528 E Spokane Falls Blvd, Suite 301Spokane, WA 99202

Choose a dental plan with options that fit your business needs and your budgetWhere employees discover the connection of dental health and overall health Having healthy teeth and gums is about more than a bright smile. It’s a vital part of maintaining and improving overall health. This is especially true for pregnant women and people with diabetes and heart disease. Poor dental care and gum disease have been linked to cardiovascular disorders, strokes and pancreatic cancer. Because of this link between a healthy mouth and body, it’s important to encourage employees to be proactive about their dental care.

Discover healthy plans for your employees and your businessDental coverage can have a huge impact on the health and well-being of your employees and their families. With Asuris you have options to fit your budget.

Experience our wide dental network that helps reduce costsWith Asuris dental coverage, your employees and their families are free to visit any dentist they choose. To maximize savings, employees can choose from one of our many participating dental providers. It’s a great way to ensure that the cost of covered procedures won’t exceed the allowed amount, once the deductible is met and coinsurance paid. Asuris has a seamless national network with more than 284,000 dental providers.

Asuris Enhance Rewards (for groups of 2+)This plan provides comprehensive coverage and rewards employees when they are proactive about their dental care. Preventive and diagnostic services are covered at 100%, restorative care at 80% and major services at 50%. Your choice of deductible applies to all covered care except preventive. When dental services are incurred and services do not exceed the annual maximum benefit, an additional benefit of $250 may be rewarded the following year. Annual rewards cannot exceed the total reward maximum.

Asuris Enhance Active (for groups of 51+)Your employees will receive comprehensive coverage and enjoy lower out-of-pocket costs when they see a dental provider in our network. Out-of-network coverage is available with increased out-of-pocket costs. This encourages your employees to take advantage of our network discounts and claims savings while still offering choice and promoting regular dental care.

Offer a single, trusted source for health and dental coverageChoosing one company for your medical and dental coverage is convenient, cost-effective, and allows for seamless coordination of benefits. You’ll enjoy the ease of administration and your employees will appreciate having a single, trusted source for all their health care needs. Employees and their families can access all the benefits and wellness information they need at asuris.com. It’s an award-winning site that can help employees navigate the health care system, advise them on making well-informed decisions, and reward them for living well.

Asuris dental plans are available to groups of two or more enrolled employees when purchased with Asuris medical plans and for groups of 10 or more enrolled employees when purchased as a stand-alone product.

Optional coverageOrthodontia coverage is available on all Enhance plans for groups with 26 or more enrolled employees. Temporomandibular Joint Disorder (TMJ) coverage is available for all plans.

Asuris Enhance (for groups of 2+)Your employees receive comprehensive coverage with the lowest out-of-pocket costs. The plan covers preventive services at 100%, diagnostic and restorative care at 80% and major services at 50%. Your choice of deductible applies to all care except preventive.

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Dental Plans Enhance Enhance Rewards Enhance Active (51+ groups only)

In Network Out of NetworkAnnual Deductible* / Maximum Options3x for family Enhance Rewards:When services incurred are less than the annual maximum, an additional benefit of $250 may be rewarded the following year, not to exceed the total reward maximum.

$25 / $1,000$50 / $1,000$25 / $1,500$50 / $1,500$25 / $2,000$50 / $2,000

Groups of 51+ only: $50 / $1,500(Preventive services do not accumulate to the annual maximum.)

$25 / $750 / $1,500$50 / $750 / $1,500$25 / $1,000 / $2,000$50 / $1,000 / $2,000

$25 / $1,000$50 / $1,000$25 / $1,500$50 / $1,500$25 / $2,000$50 / $2,000

$50 / $1,000$100 / $1,000$50 / $1,500$100 / $1,500$50 / $2,000$100 / $2,000

Preventive and Diagnostic Services

Member pays nothing Member pays nothing Member pays nothing

20% plus the difference between the billed charge and the allowed amount; deductible does not apply

Cleanings—Two per calendar year (in lieu of periodontal maintenance)Preventive oral exams—Two per calendar yearSealants—Bicuspids and molars only, for those under 18 years of ageSpace maintainers— For those under 12 years of ageTopical fluoride application—Two applications per calendar year for those under 18 years of ageX-rays and bitewings— One set, twice per calendar year Panoramic and full-mouth— Once every three yearsBasic and Restorative Services

Member pays 20% after the deductible is met

Member pays 20% after the deductible is met

Member pays 20% after the deductible is met

30% after deductible plus the difference between the billed charge and the allowed amount

Debridement—Once every three yearsEmergency treatment—For pain relief onlyEndodontics—Includes root canal treatment, pulpotomy and apicoectomyFillings—Composite and amalgam restorationsGeneral anesthesia or IV sedation—Partial or full bony impactions and for those under age 7 (subject to necessity)

Oral surgery—Includes surgical extractions, removal of teeth, biopsies, incision and drainagePeriodontal maintenance—Two per calendar year (in lieu of preventive cleaning benefit)Periodontal scaling and root planing—Once per quadrant in a two-year periodMajor Services

Member pays 50% after the deductible is met

Member pays 50% after the deductible is met

Member pays 50% after the deductible is met

60% after deductible plus the difference between the billed charge and the allowed amount

Bridges (fixed partial denture)—Once within a seven-year period after placementCrowns, inlays and onlays—Once within a seven-year period after placementDental implants—Four per lifetimeDentures (full or partial)—Once within a seven-year period per archDenture rebase—Once within a three-year period per archRecementing of inlays, onlays or crownsOrthodontia (Optional purchase for groups of 26 or more enrolled employees; limited to under age 24)

$1,000 or $1,500 lifetime maximum. Member pays 50%. Deductible does not apply. Twelve-month waiting period applies (waived for members with prior dental coverage).

$1,000 or $1,500 lifetime maximum. Member pays 50%. Deductible does not apply. Twelve-month waiting period applies (waived for members with prior dental coverage).

$1,000 or $1,500 lifetime maximum. Member pays 50%. Deductible does not apply. Twelve-month waiting period applies (waived for members with prior dental coverage).

$1,000 or $1,500 lifetime maximum. Member pays 50%. Deductible does not apply. Twelve-month waiting period applies (waived for members with prior dental coverage).

Temporomandibular Joint Disorder (TMJ)(Optional coverage)

$1,000 calendar-year maximum. Deductible does not apply.

$1,000 calendar-year maximum. Deductible does not apply.

$1,000 calendar-year maximum. Deductible does not apply.

$1,000 calendar-year maximum. Deductible does not apply.

*Deductible applies to all covered services except where noted.This is a brief summary of benefits; it is not a certificate of coverage. For full contract provisions, refer to the contract.

ANH-110160-19/08-rep110160-18© 2019 Asuris Northwest Health

To learn more, please contact your Asuris sales representative or producer. You can also visit asuris.com and click on Employers.