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.
Dental Plan
Benefit Highlights
In-Network
Deductible (Individual/Family)
$50 / $150
Annual Plan Max (Individual/Family)
$2,000
Preventive Care
$0 / 100%
Basic Services
90%
Major Procedures
60%
Orthodontia (Adults and Children)
Not Covered
Out-of-Network
Deductible (Individual/Family)
$50 / $150
Annual Plan Max (Individual/Family)
$2,000
Preventive Care
$0 / 100%
Subject to Maximum Allowable Charge (MAC) reimbursement.
Basic Services
90%
Subject to MAC reimbursement.
Major Procedures
60%
Subject to MAC reimbursement.
Orthodontia (Adults and Children)
Not Covered
Plan Cost
Employee Only: $0.00
Employee and Spouse: $37.38
Employee and Child(ren): $49.50
Employee and Family: $94.50