You can roll over up to $600 to the following year's annual benefits maximum for dental coverage, if:
- You're enrolled in the Enhanced Plan before October 1 of the current plan year; and
- You receive a cleaning and oral exam during the calendar year; and
- Your paid claims for the current year don't exceed $1,500.
Rollover coverage can't be applied to orthodontia services.
Rollover in Action
Let's say Anthony enrolls in the Enhanced Plan and gets a cleaning and oral exam each year. He has basic dental work for a couple of years but needs major dental work in year three. Here's how the rollover provision helps him save money on the care he needs.
|
Year One |
Year Two |
Year Three |
Annual Benefit Maximum |
$2,000 |
$2,000 |
$2,000 |
Rollover from Previous Year |
$0 (first year in the plan) |
$600 |
$600 |
Adjusted Annual Benefit Maximum |
$2,000 |
$2,600 |
$3,200 |
Total Paid Claims (cleaning, oral exam + other services) |
$400 |
$300 |
$3,000* |
Eligible for Rollover |
Yes (claims don’t exceed $1,500) |
Yes (claims don’t exceed $1,500) |
No (claims exceed $1,500, but the $200 left from Year 2 will roll over) |
Rollover Amount |
$600 |
$600 |
$0 |
*In year 3, Anthony exceeded the $2,000 annual benefit maximum, but he rolled over enough money to cover the additional $1,000, so he didn't have to pay the extra amount out of pocket.