MMC Benefits Handbook
Deductible
The annual deductible is $25 for individuals and $75 for families under the Premier option and $50 for individuals and $150 for families under the Standard option.
Preventive and diagnostic services, however, are covered at 100% of the reasonable and customary amount with no deductible.
Can I carry over any dental expenses from one year to the next to meet my deductible?
No, expenses that apply toward your deductible in one calendar year can't be applied toward the next calendar year deductible.
What is the individual deductible?
The deductible is $25 per person, per calendar year under the Premier option and $50 per person, per calendar year under the Standard option.
Preventive and diagnostic services are covered at 100% in-network or 100% of the reasonable and customary amount out-of-network with no deductible.
Your expenses up to the covered benefit amount count toward your deductible.
What is the family deductible?
The family deductible that applies to certain services is $75 per calendar year under the Premier option and $150 per calendar year under the Standard option.
Your expenses up to the covered benefit amount count toward your deductible.
What expenses are covered without my having to meet the deductible?
The following expenses are covered without your first having to meet the annual deductible:
  • Preventive and diagnostic services (in-network or out-of-network)
  • Orthodontia services (covered under the Premier option only).
What expenses are not applied to the deductible?
The following services do not apply toward the deductible: