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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 available plans.

Features:

People covered by the policy:

Any person over 18 years old wishing to purchase the plan, for himself and spouse without age restriction, for the dependent children between the ages of 2 and before reaching the age of 23.

Currency: Colones.

Coverage:

Basic coverage: Dental expenses.

Additional coverage: Accidental death.

Insurance Type:

Annual Renewable.

Claim Presentation:

The policy works with assistance, customer must call to 4101-0020 to request a valuation appointment or any other required assistance, the insurance company will schedule the appointment according to the network provider.

Competitive 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:

 

COVERAGES AND ASSISTANCE

Gold Plan

Gold Select

Plus

Prevent

ASSISTANCE

DESCRIPTION

ASISTENCIAS CON TIEMPO DE ESPERA

BENEFIT

WAIT TIME (IN DAYS)

BENEFIT

WAIT TIME (IN DAYS)

BENEFIT

WAIT TIME (IN DAYS)

BENEFIT

WAIT TIME (IN DAYS)

Dental Emergencies

Priority attention due to emergencies

100%

5

100%

0

70%

5

100%

0

Diagnosis and treatment plan

Diagnostic Clinical Exam and Treatment Plan

100%

45

100%

0

100%

45

100%

0

Radiology

Periapical x-ray for treatmenst and Diagnosis

100%

45

100%

0

70%

45

100%

0

Operative

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

100%

45

100%

0

70%

45

0%

0

Oral Surgery

Extracciones simples y complejas.

Cirugía complicada de remanentes radiculares. Drenaje absceso intraoral.

Reimplante Dentario.

100%

45

100%

0

70%

45

100%

0

Cirugía Oral

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

100%

0

70%

45

0%

0

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

50%

0

70%

45

0%

0

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

100%

0

70%

45

100%

0

Periodontics

Dental Prophylaxis

100%

45

100%

0

70%

45

100%

0

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)

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

ȼ8.500

45

ȼ9.000

0

ȼ11.000

45

ȼ5.000

0

Periodontics

Removal of supragingival calculus

ȼ9.000

45

ȼ9.000

0

ȼ11.000

45

ȼ5.000

0

Coverage for ACCIDENTAL just for the INSURED

ȼ2.500.000

 

 

MONTHLY PREMIUM

INSURANCE PREMIUMS FOR EACH PLAN WITH COVERAGE FOR ACCIDENTAL DEATH JUST FOR THE INSURED

FOR THE HOLDER ONLY

ȼ8.500

ȼ7.100

ȼ5.800

ȼ4.200

FOR THE HOLDER + ONE DEPENDENT

ȼ15.900

ȼ13.900

ȼ11.500

ȼ8.100

FOR THE HOLDER + FAMILY (MAX. 3 DEPENDENT)

ȼ23.900

ȼ20.900

ȼ17.200

ȼ14.200

Banco de Costa Rica is a non-exclusive operator of Aseguradora del Istmo #OA-A07-0065

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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