Deductible $0 per calendar year 
You may receive the following dental services: 
Plan covers up to  $2,000 allowance every year for non-Medicare covered preventive and comprehensive  
dental services. You are responsible for any amount above the dental coverage limit. Any amount unused  
at the end of the year will expire.  
Your benefit can be used for most dental treatments such as:  
•Preventive dental services, such as exams, routine cleanings, etc.