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Customized BCR-Dental Policy

What does this insurance consist of?

It is an auto expediting insurance policy that covers emergency dental expenses, and also provides coverage for other dental treatments necessary for oral and dental health. It has complimentary accidental death coverage.  The customer may choose between both 100% and 70% coverage plans.

Features:

People covered by the policy:

Any person age 18 and older wishing to purchase the plan can do so for himself as the policy holder.  Additionally, the holder can include, for an extra premium, their spouse and dependent children between the ages of 2 and before reaching the age of 23 (maximum of 3 dependents including spouse).

Coverage:

Basic coverage: Dental expenses.

Additional coverage: Accidental death.

Insurance Type:

Annual Renewable.

Claim Presentation:

By calling 4101-0020 you can request a valuation appointment or any other required assistance.  The insurance company will schedule the appointment according to the network provider.

Advantages:

It has a two-month grace period, no-risk selection, the same premium is paid regardless of age, speedy policy emission process, no additional requirements, debit/credit card deductions.

How do I buy this insurance?

This insurance is exclusively sold through our Contact Center.  In order to buy this insurance plan, you can call our customer service line 4101-0020 and by the acceptance of the policy conditions, you will immediately be insured and will receive your coverage certificate by email.

Plans:

ASISTANCE

DESCRIPTION

GOLD PLAN

PLUS PLAN

COVERAGE

WAIT TIME (INDAYS)

COVERAGE

WAIT TIME (IN DAYS)

Dental Emergencies

Priority attention due to emergencies

100%

5

70%

5

Diagnosis and treatment plan

Diagnostic Clinical Exam and treatment Plan

100%

45

100%

45

Radiology

Periapical x-ray for treatments and Diagnosis

100%

45

70%

45

Operative

Dental amalgam - one, two, three and four surfaces for permanent pieces

100%

45

70%

45

Oral Surgery

Simple and complex extractions, root fragments and eruption of third molars, operculectomy, frenectomy, bone, remodeling, open method exodontia (not including wisdom teeth), oral and dental surgery (not including wisdom teeth) flange deepening per quadrant, pericoronal caps (Operculectomy), complex surgical extractions of root fragments, intraoral abscess drainage, Tori removal (palatal or bilateral lingual), Arch Gingivectomy (do to gingival enlargement, not including aesthetic/cosmetic reasons), tooth reimplantation

100%

45

70%

45

Endodontics

Front tooth, premolar and molar root canals in permanent pieces, Apexification and Apexogenesis in permanent pieces, Front tooth, premolar and molar Apicoectomy, root canal perforations

100%

45

70%

45

Pediatric Dentistry

Pediatric dental extractions, primary teeth with amalgam, cariogenic diet control, application of fluoride, fissure sealants, resins in primary teeth, resin crown

100%

45

70%

45

Periodontics

Dental Prophylaxis

100%

45

70%

45

CO-PAYMENT

ASSISTANCE

DESCRIPTION

VALUE OF THE INSURED’S CO-PAYMENT

CO-PAY VALUE

WAIT TIME (IN DAYS)

CO-PAY VALUE

WAIT TIME (IN DAYS)

Operative or  Oral Surgery

Dental Resins, one or two surfaces in permanent pieces

¢9.000

45

¢11.000

45

Periodontics

Removal of supragingival calculus

¢9.000

45

¢11.000

45

MONTHLY PREMIUM

GOLD PLAN

PLUS PLAN

FOR THE HOLDER ONLY

¢8.500

¢5.800

FOR THE HOLDER + ONE DEPENDENT

¢15.900

¢11.500

FOR THE HOLDER + FAMILY (4 PERSONS INCLUDING HOLDER)

¢23.900

¢17.200

Banco de Costa Rica is a non-exclusive operator of Aseguradora del Istmo #OA-A07-0065 for Auto Expediting Insurance Policies

This product is registered at the SUGESE under the name of “Seguro Autoexpedible de Gastos Odontológicos Acci-Dental en Colones”.  Code P20-64-A07-487 20-11 - 2013

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