add rag; fix estimation service

This commit is contained in:
ipu 2025-07-25 21:23:11 +03:00
parent ada7788516
commit 47cc1541ed
8 changed files with 226 additions and 39 deletions

View file

@ -0,0 +1,72 @@
PLAN: Equitable Dental Plan - Class 2
UID: Equitable Dental Plan - Class 2
Category: Dental
Type: None
Marketing Name: Equitable Dental - Class2
Average Price: $77.90
Short Description: Expanded dental coverage including preventive and basic restorative services like fillings and extractions.
Long Description: The Class II dental plan builds on the preventive care of Class I and adds basic restorative services such as fillings, simple extractions, and emergency treatment for pain relief. Preventive services are covered at 100% in-network, and basic services are covered at 80% after a $50 annual deductible. This plan is ideal if you want broader protection and help managing more than just routine dental care.
PRICING:
Coverage 1: $32.87
Coverage 2: $65.12
Coverage 3: $90.68
Coverage 4: $122.93
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: 2000
Annual Individual Maxium Benefit - Out of Network: 2000
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%