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Dental Plans That Fit Your Budget
- Keep your dentist or choose an In-Network dentist and save
- Over 400,000 providers to choose from, whether home or away
- No waiting period on covered services – get access right away
- Covers exams, cleanings, fillings, crowns, implants, and more
- High annual maximum that can increase after one year
Dental Plan Comparison
Gold Plan
Essential Coverage
Platinum Plan
Most Comprehensive
Member Only
$31.52/month
$66.12/month
Member +1
$63.08/month
$132.20/month
Member + Family
$93.92/month
$170.52/month
Deductible
$50.00 per year/person
$50.00 per year/person
(waived for Preventative services)
Annual Maximums
Gold Plan
Platinum Plan
In Network
$800.00 per year/person
$1,500.00 per year/person
Out of Network
$800.00 per year/person
$1,500.00 per year/person
Rewards
Gold Plan
Platinum Plan
Annual Benefit Threshold
$500.00
$500.00
Annual Maximum Benefit
$800.00
$1,500.00
Dental Rewards Carry Over
$250.00
$250.00
Year 2 Maximum Benefit
$1,050.00
$1,750.00
Total Maximum Benefit
$1,800.00
$2,500.00
Preventive
X-Rays (bitewing)
Covers 100% I.N. (80% O.O.N.) (bitewing)
Covers 100% I.N. (80% O.O.N.) (bitewing)
Routine Cleanings
Covers 100% I.N. (80% O.O.N.)
Covers 100% I.N. (80% O.O.N.)
Routine Oral Exams
Covers 100% I.N. (80% O.O.N.)
Covers 100% I.N. (80% O.O.N.)
Basic
Extractions (simple)
Covers 70% I.N. (60% O.O.N.) (simple)
Covers 80% I.N. (60% O.O.N.) (simple)
Fillings
Covers 70% I.N. (60% O.O.N.)
Covers 80% I.N. (60% O.O.N.)
X-Rays (panoramic)
Covers 70% I.N. (60% O.O.N.) (panoramic)
Covers 80% I.N. (60% O.O.N.) (panoramic)
Periodontal Maintenance
Covers 70% I.N. (60% O.O.N.)
Covers 80% I.N. (60% O.O.N.)
Major
Bridge Work
Not Covered
Covers 50% I.N. (40% O.O.N.)
Crown Repair
Not Covered
Covers 50% I.N. (40% O.O.N.)
Crown (all types)
Not Covered
Covers 50% I.N. (40% O.O.N.)
Denture Repair
Not Covered
Covers 50% I.N. (40% O.O.N.)
Dentures (all types)
Not Covered
Covers 50% I.N. (40% O.O.N.)
Root Canal (all types)
Not Covered
Covers 50% I.N. (40% O.O.N.)
Extractions (complex)
Not Covered
Covers 50% I.N. (40% O.O.N.) (complex)
General Anesthesia
Not Covered
Covers 50% I.N. (40% O.O.N.)
Implants
Not Covered
Covers 50% I.N. (40% O.O.N.)
Use your current dentist OR Save 25-50% with a dentist in our network.
Find a dentist
(note: Enter zip, select city & state, and Classic PPO network.)
This highlight is not a certificate of insurance or a guarantee of coverage. Premium rates may change upon renewal and can be adjusted for the entire group or a specific class. A class is defined in the group policy. Benefits are subject to change upon agreement between the carrier and the participating organization. The policy is renewable at the option of the insured.
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