Dental coverage from Spirit Dental
To apply for Spirit Dental download and complete the brochure and application below. Return the completed application via fax at 225.622.3070 or via email at trish@insurancelady.com.
View Spirit Dental benefits, including plan designs, rates and use the online enrollment feature.
Spirit Dental Brochure and Application
This Dental Insurance Plan helps you cover the costs of dental care. Covered dental services include exams, cleanings, fillings and extractions, as well as crowns, bridges and dentures. This policy reimburses you for covered dental expenses based upon a percentage of the Reasonable and Customary (R&C) fees for those covered expenses after the $50 lifetime deductible has been satisfied on Preventive Services and the $50 combined calendar year deductible has been satisfied on Basic and Major Services. These percentages are: 100% for Preventive Services, 70% for Basic and 10% for Major Services in the 1st year. In the 2nd year of coverage, Basic Services increase to 80% and 50% for Major. In the 3rd year, Basic Services increase to 90%.
Spirit Dental allows you to select your own dentist, and it is affordable for you and your family.
- $50 Preventive Lifetime deductible per person to a maximum of 3 Individual deductibles per family
- $50 combined Basic/Major Annual deductible per person to a maximum of 3 Individual deductibles per family
- $1200 calendar year maximum benefit per person
- $2000 calendar year maximum option for 10% rate increase
