Dental

Good dental care improves your overall health. Our dental plan is designed to help you maintain a healthy smile through regular dental care and fix any problems as soon as they occur.

Dental Benefits

Plan Features Dental DPPO Plus Dental DPPO Non-Network
You pay: You pay: You pay:
Calendar Year Deductible (waived for Preventive Services) $50 Individual / $150 Family $50 Individual / $150 Family $50 Individual / $150 Family
Calendar Year Benefit Maximum $5,000 $5,000 $5,000
Plan pays: Plan pays: Plan pays:
Diagnostic & Preventive Services (e.g., x-rays, cleanings, exams) 100%, no deductible 100%, no deductible 100%, no deductible
Basic & Restorative Services (e.g., fillings, extractions, root canals) 90% after deductible 80% after deductible 80% after deductible
Major Services (e.g., dentures, crowns, bridges) 60% after deductible 50% after deductible 50% after deductible
Orthodontia (adults and children) 50%, no deductible 50%, no deductible 50%, no deductible
Orthodontia Lifetime Maximum $1,500 $1,500 $1,500
Dental Plans Overview
Dental Plans
Enrollment Instructions
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