For Eligible Participants of the UFCW Local 1776 and Participating
Employers Health and Welfare Fund

The following plan limitations are based on standard dental practice:

Periodic oral exams are allowed once every six months

Full mouth X-rays are allowed once every 48 months

Up to four bitewing X-rays are allowed every six months

Prophylaxis (cleaning) are allowed once every six months

Crowns, bridges and dentures may be replaced after five years from the date of insertion. Maryland Bridges may be replaced after three years.

Relines and rebases of complete dentures are allowed after one year from the date of insertion