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

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