This product is designed to cover the costs of dental services for the prevention of oral diseases and/or accidents, care, and maintenance of dental health, or the recovery of dental health.
- Not applicable for reimbursement, the service is provided according to the dental diagnosis made by a network specialist.
- Prior diagnosis and treatment definition by a network Dentist is required to provide any benefit included in the coverage.
- Largest supplier network in the country.
*The restrictions detailed in the general conditions of the policy apply.
To contact the provider network and coordinate the delivery of dental services, please contact the following numbers: 2503-2706 / 2505-3636.
Dental Expense Coverage
|Emergency or Urgent Dental Care||Urgent priority care|
|Emergency or Urgent Prosthetic||In-office denture repair, denture relining (fracture), acrylic tooth repair (denture), acrylic temporary tooth replacement (temporary), temporary crown re-cementing (debonding)|
|Diagnostic and Treatment Plan||Clinical Examination for Diagnosis and Treatment Plan|
|Radiology||Periapical Radiography for treatment and diagnosis, Flap Radiography for treatment and diagnosis, Occlusal Radiography, Set of 4 flaps and 2 periapicals, Radiological Interpretation|
|Prevention||Oral Physiotherapy, Bacterial plaque control, Control of cariogenic diet, Dental prophylaxis, Set of intraoral photographs, Application of fluoride gel. Under 14 years of age, Fluoride Varnish Application (for demineralization) 1 session, Pit and Fissure Sealants. Under 12 years old|
|Operation||Amalgam one, two, three, and four surfaces in permanent parts, Ionomer for necks|
|Oral Surgery||Simple and complex extractions, root remnants and erupted third molars, open method extraction (not including wisdom teeth), Operculectomy, frenectomy, bone remodeling, surgery of included teeth (not including wisdom teeth), deepening of the ridge per quadrant, complicated surgery of root remnants, intraoral abscess drainage, torus excision (palatal or lingual bilateral)|
|Endodontics||Apexification and Apexogenesis in permanent teeth, Apicoectomy in anterior teeth, premolars, and permanent molars, and sealing of perforations|
|Periodontics||Gingivectomy by sextant (not including esthetic reasons), Furca Tunneling, Distal Wedge, Periodontal Abscess Drainage|
|Odontopediatrics||Pediatric extractions, Amalgams in temporaries, Glass Ionomer Definitive Restoration, Endodontics in Temporary Interiors, Pulpotomy of temporary teeth, Resins in temporaries, Resins in plastic forms, Space Maintainer|
|Orthodontics||Clinical Examination by Orthodontic Specialist, Installation of appliances (metal brackets)|
|Esthetics||In-Office Teeth Whitening (1 session)|
|Operations||Resins one, two, three, and four surfaces in permanent pieces, Cervical Resin for necks|
|Prevention||Supragingival calculus removal|
|Periodontics||Closed or open field curettage per quadrant|
|Endodontics||Root canal treatment of anterior teeth, premolars and molars on permanent teeth|