Dental
Dental coverage helps you maintain a healthy smile with preventive care, basic services, and major procedures. You can visit any licensed dentist, but you’ll save the most when you use an in-network provider who has agreed to discounted rates. Out-of-network dentists may charge more than the plan’s allowed amount, and you may be responsible for the difference. Most plans cover preventive services—such as exams, cleanings, and X-rays—at 100% when you stay in-network, making regular checkups an easy way to protect your oral health and avoid costly issues down the road.
Low Plan
Benefit Highlights
In-Network
Deductible (Individual/Family)
$50/$150
Plan Maximum
$1,000
Preventive Care
$0*
Basic Services
20% after deductible
Major Procedures
50% after deductible
Orthodontia (Adults and Children)
Not included
Plan Cost
Employee Only: $XX
Employee and Spouse: $XX
Employee and Child(ren): $XX
Employee and Family: $XX
High Plan
Benefit Highlights
In-Network
Deductible (Individual/Family)
$25/$75
Plan Maximum
$2,000
Preventive Care
$0*
Basic Services
10% after deductible
Major Procedures
40% after deductible
Orthodontia (Adults and Children)
50% after deductible with a lifetime maximum of $2,000
*You have the option to visit any dental provider you wish, but you will pay less by utilizing in-network care. Non-participating dentists may bill for the difference between the Allowed Benefit and their charges.
Plan Cost
Employee Only: $XX
Employee and Spouse: $XX
Employee and Child(ren): $XX
Employee and Family: $XX
