Implant Plan Maximum

The Fund’s payment for a surgical implant placement (procedure codes D6010 or D6013 only) will be deducted from the separate Implant Annual Plan Maximum of $1,175*. No other services are eligible for this separate plan maximum, even though they may be part of the implant treatment/restoration (e.g. abutment, crown).

The implant codes of D6010 and D6013 are not eligible for the Annual Plan Maximum of $1,600*. If the patient has reached the Implant Annual Plan Maximum, there will be no further payment for these procedure codes available.

*Commonwealth of Massachusetts Seasonal Employees annual plan maximum is equal to 50% of the stated maximums.