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Dental
Highlights of the Plan
How the Trust Dental Plan Works
What the Plan Covers
 
Class I Services
 
Class II Services
 
Class III Services
 
Class IV Services
 
Class V Services
What's Not Covered
How to File a Dental Claim
Class IV Services
The plan pays the following services at 50% of UCR:
Prosthodontic: Procedures for construction or repair of fixed bridges, partials and complete dentures. (See "
Limitations
.")
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© School District No. 1 Health and Welfare Trust | For PAT employees | Rev. August 2016