All the benefits are paid according to the Allegiant Care Dental Fee Schedule 2025. The fee schedule is the same for all four Allegiant Care dental plans. The member is responsible for any difference between the amount charged by the provider and the amount paid by Allegiant Care.

NOTE: Plan deductibles, calendar year maximums, and orthodontic maximums vary by plan.

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Toll Free: 800.258.9732
Local: 603.669.4771
Fax: 603.666.4477

Allegiant Care
51 Goffstown Road
P.O. Box 4604
Manchester, NH 03108

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