Standardized Basic Insurance

We have different plans to take care of your dental health

Dental Health Essential Product

Type of insurance

Family Dental Insurance (minimum of 3 people required)

Method of providing coverage

Through the network or via refund

Acceptance ages

Without restriction

Deductible

$100 One-time annual policy, when using the policy for the first time

Copayment

20% of total service expenditure

Benefit

Dental treatments as indicated are covered for one year

Type of treatment

Corrective

Incision and drainage of intraoral abscess, involves incision through the mucosa (only for those over 13 years of age)

Number of services per policy year: 1
Maximum Insured Amount per Service (Ages 13 and Over): $400.00 MXN
Maximum Sum Insured per Service (Under 14 years of age): Not applicable

Simple Extraction

Number of services per policy year: 2
Maximum Insured Amount per Service (Ages 13 and Over): $320.00 MXN each
Maximum Insured Amount per Service (Children under 14 years of age): $200.00 MXN each

Single-surface resin restoration (one surface of an anterior tooth) or multi-surface resin restoration (more than one surface of an anterior tooth, even when the surfaces are not contiguous).

Number of services per policy year: 4 in the combination of amalgams and resins
Maximum Insured Amount per Service (Ages 13 and Over): $252.00 MXN each
Maximum Insured Amount per Service (Children under 14 years of age): $252.00 MXN each

Simple amalgam (one posterior tooth surface) or composite amalgam (more than one posterior tooth surface, even if there is no communication between them)

Number of services per policy year: 4 in the combination of amalgams and resins
Maximum Insured Amount per Service (Ages 13 and Over): $240.00 MXN each
Maximum Insured Amount per Service (Children under 14 years of age): $240.00 MXN each

Preventive

X-rays

Number of services per policy year: 4
Maximum Insured Amount per Service (Ages 13 and Over): $32.00 MXN
Maximum Insured Amount per Service (Children under 14 years of age): $32.00 MXN

Topical application of fluoride (Only for children under 14 years old)

Number of services per policy year: 1
Maximum Sum Insured per Service (Over 13 years of age): Not applicable
Maximum Insured Amount per Service (Children under 14 years of age): $112.00 MXN each

Prophylaxis
Nutritional Instruction for the Control of Dental Diseases

Number of services per policy year: 1
Maximum Insured Amount per Service (Ages 13 and Over): $176.00 MXN each
Maximum Insured Amount per Service (Children under 14 years of age): $120.00 MXN each

Detailed and extensive oral consultation

Diagnosis

Treatment Plan

Number of services per policy year: 1
Maximum Sum Insured per Service (Ages 13 and Over): Not covered by reimbursement
Maximum Sum Insured per Service (Children under 14 years of age): Not covered by reimbursement

Policies

Method of payment

Annual

Waiting period for Premium Payment

30 days

Plan timeframe

One year renewable for life

Exclusions

Medications; general anesthesia or sedation; hospital expenses; out-of-town expenses; complications arising from or manifesting during or after dental or surgical treatment due to injuries, conditions, or procedures excluded from the contract; complications arising from or manifesting during or after dental or surgical treatment due to patient negligence; experimental treatments; complications in treatment by dentists outside the network; cosmetic treatments or surgical procedures; treatment not specified within the coverage of the contracted plan; fillings for initial and/or cervical wear; surgical procedures (except simple extractions); resin fillings in posterior teeth