| LOW PLAN | HIGH PLAN | |||||
| Member | Member +1 | Member +>1 | Member | Member +1 | Member +>1 | |
| AREA 1 | $24.50 | $45.75 | $69.25 | $43.75 | $86.75 | $116.75 |
| AREA 2 | $26.50 | $50.00 | $77.50 | $48.75 | $100.75 | $139.00 |
| AREA 3 | $29.75 | $59.25 | $84.75 | $59.25 | $115.75 | $158.00 |
| AREA 4 | $31.75 | $63.75 | $92.25 | $63.75 | $124.25 | $173.00 |
| AREA 5 | $32.75 | $65.75 | $98.75 | $67.00 | $132.50 | $183.50 |
| AREA 6 | $34.75 | $70.25 | $106.00 | $72.25 | $144.25 | $198.25 |
| AREA 7 | $26.50 | $50.00 | $77.50 | $48.75 | $100.75 | $139.00 |
CRA Dental “Low” Plan Benefits
Preventative
- Oral Exams
- Full-Mouth or Panoramic x-Rays
- Bitewing x-Rays
- Prophylaxis/Cleanings
- Fluoride Treatments
Basic
- Intraoral, periapical, andextraoral x-rays
- Pulp vitality tests
- Diagnostic Casts
- Diagnostics Photographics
- Bacteriological Studies
- Sealants
- Space Maintainers
- Palliative Care
- Sedative Fillings
- Fillings
- Periodontal Maintenance
- Pulp Capping
- Therapeutic Pulpotomy
CRA Dental “High” Plan Benefits
Preventative
- Oral Exams
- Full-Mouth or Panoramic x-Rays
- Bitewing x-Rays
- Prophylaxis/Cleanings
- Fluoride Treatments
Basic
- Intraoral, periapical, andextraoral x-rays
- Pulp vitality tests
- Diagnostic Casts
- Diagnostics Photographics
- Bacteriological Studies
- Sealants
- Space Maintainers
- Palliative Care
- Sedative Fillings
- Fillings
- Periodontal Maintenance
- Pulp Capping
- Therapeutic Pulpotomy
Major
- Recementations and Repairs
- Rebases/Relines
- Implants
- General Anesthesia
- Simple Extractions
- Surgical Extractions/Oral Surgery
- Consultations
- Inlays/Onlays
- Crowns
- Crown Build-ups
- Veneers
- Dentures
- Bridges
- Endodontics/Root Canal
- Periodontics