add rag; fix estimation service

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ipu 2025-07-25 21:23:11 +03:00
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PLAN: Equitable Dental Plan - Class 1
UID: Equitable Dental Plan - Class 1
Category: Dental
Type: None
Marketing Name: Equitable Dental - Class 1
Average Price: $65.64
Short Description: Essential dental coverage for preventive care including exams, cleanings, and X-rays. Great for maintaining a healthy smile on a budget.
Long Description: The Class I dental plan offers essential preventive coverage designed to help you maintain good oral health. This includes 100% coverage (in-network) for routine exams, cleanings, and bitewing X-rays twice per year, with no deductible. Its an affordable way to stay proactive with your dental care and avoid unexpected issues.
PRICING:
Coverage 1: $28.11
Coverage 2: $55.68
Coverage 3: $75.62
Coverage 4: $103.18
DETAILS:
COVERAGE:
Coinsurance - In Network: 100% Preventive care (like cleanings, exams, and X-rays).80% Basic care (like fillings and simple extractions).50% Major care (like crowns, dentures, and root canals).
Coinsurance - Out of Network: 100% Preventive care (like cleanings, exams, and X-rays). 80% Basic care (like fillings and simple extractions). 50% Major care (like crowns, dentures, and root canals).
Missing Tooth Clause - In Network: Pre-existing missing teeth not covered
Missing Tooth Clause - Out ofNetwork: Pre-existing missing teeth not covered
Annual Individual Maxium Benefit - In Network: 1000
Annual Individual Maxium Benefit - Out of Network: 1000
Annual Individual / Family Deductible - In Network: $50 deductible per person For a family, you only have to pay it for 3 people max (so $150 total), even if more are covered and preventive services are free.
Annual Individual / Family Deductible - Out of Network: $50 deductible per person For a family, you only have to pay it for 3 people max (so $150 total), even if more are covered and preventive services are free.
Reimbursement (how much the insurance company pays thef or care) - In Network: Agreed Rate
Reimbursement (how much the insurance company pays thef or care) - Out of Network: Fixed Coverage Amount
Alternative Benefit (If two treatments would fix the problem, the plan pays for the less expensive one) - In Network: Included
Alternative Benefit (If two treatments would fix the problem, the plan pays for the less expensive one) - Out of Network: Included
BASICSERVICES:
Simple Extractions - In Network: 80%
Simple Extractions - Out of Network: 80%
Periodontal Maintenance - In Network: 80%
Periodontal Maintenance - Out of Network: 80%
Emergency Palliative Treatment - In Network: 80%
Complete Series/ Panoramic X-Rays - In Network: 80%
Emergency Palliative Treatment - Out of Network: 80%
Complete Series/ Panoramic X-Rays - Out of Network: 80%
Basic Restorative Services (amalgam, composite resin, acrylic, synthetic or plastic fillings) - In Network: 80%
Basic Restorative Services (amalgam, composite resin, acrylic, synthetic or plastic fillings) - Out of Network: 80%
MAJORSERVICES:
Bridges - In Network: 50%
Bridges - Out of Network: 50%
Oral Surgery - In Network: 50%
Bitewing X-Rays - In Network: 50%
Oral Surgery - Out of Network: 50%
Bitewing X-Rays - Out of Network: 50%
Periodontal Surgery - In Network: 50%
Inlays/Onlays/Crowns - In Network: 50%
Surgical Endodontics - In Network: 50%
Periodontal Surgery - Out of Network: 50%
Inlays/Onlays/Crowns - Out of Network: 50%
Non-Surgical Endodontics - In Network: 50%
Non-Surgical Periodontal - In Network: 50%
Surgical Endodontics - Out of Network: 50%
Non-Surgical Endodontics - Out of Network: 50%
Non-Surgical Periodontal - Out of Network: 50%
Surgical Extractions and Removal of Impacted Teeth - In Network: 80%
Surgical Extractions and Removal of Impacted Teeth - Out of Network: 50%
Dentures complete, partial, overdenture (upper and lower) - In Network: 50%
Dentures complete, partial, overdenture (upper and lower) - Out of Network: 50%
PREVENTIVESERVICES:
Periodic Oral Evaluation - In Network: 100%
Periodic Oral Evaluation - Out of Network: 100%
Comprehensive Oral Evaluation - In Network: 100%
Comprehensive Oral Evaluation - Out of Network: 100%
Limited Oral Evaluation (problem focused) - In Network: 100%
Limited Oral Evaluation (problem focused) - Out of Network: 100%