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Maximum Benefits
There are limits on the benefits you can receive from the PDP Option. The maximum benefit for in-network preventive and restorative care is $2,000 per person per year and the maximum benefit for out-of-network preventive and restorative care is $1,500 per person per year. The lifetime maximum benefit for orthodontia is $2,500 per person in-network and $2,000 per person out-of-network. Please Note: These maximums reflect a combined amount for both in-network and out-of-network care, so out-of-network care will count against your in-network benefit maximum and vice versa.