Massachusetts Laborers' Benefit Funds: Health and Welfare fund

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Overview of the Plan A and Plan B Dental Plans

Dental	Plan A (current plan)		Plan B (new preventive plan)
Type I (Diagnostic and Preventive Benefits: exams, cleanings, etc.)	PPO Provider	Non-PPO Provider in PPO Area	PPO Provider	Non-PPO Provider in PPO
	100%	100% of usual and customary charges	100%	100% of usual and customary charges
Type II (Restorative and Other Basic Services: fillings and crowns, etc.)	80%	80% of usual and customary charges	None
Type III (Major Restorative Services: crowns, dentures and bridges, etc.)	50%	50% of usual and customary charges	None
Annual maximum	None		None
Orthodontia	Lifetime maximum of $2,500. Available to age 19		None

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This information is intended only to provide highlights of the plans. In the event of any inconsistency between the information on this Web site and the official plan document, the terms of the official plan document, as interpreted by the Board of Trustees in its sole discretion, will control. All examples and projections included on this Web site are not a guarantee of future benefits under the plans. The benefit amounts are estimates only, based on the stated assumptions and are subject to change.

The Massachusetts Laborers' Benefit Funds reserve the right to amend, modify, or terminate all or part of any plan at any time.