Dental Benefits
Dental PPO Plan – Mutually Preferred Network
Dental insurance offers coverage for preventive care like routine exams, cleanings, and X-rays as well as basic and major services like fillings, extractions, root canals and crowns.
Keep in mind that your costs will generally be lower if you choose an in-network dentist.
To find an in-network dentist, please visit https://clients.go2dental.com.
In-Netowrk |
Out-of-Netowrk |
|
|---|---|---|
Deductible (Individual/Family) |
None |
$50/$150 |
Calendar Year Benefit Max |
$1500 |
$1500 |
Diagnostic and Preventive |
100% |
100% |
Basic Services |
90% |
80% |
Major Services |
60% |
50% |
Orthodontia (Up to age 19) |
50% |
50% |
Orthodontia Lifetime Max |
$1,000 |
$1,000 |
Weekly Cost |
|
|---|---|
Employee |
$7.66 |
Employee + Spouse |
$17.33 |
Employee + Child(ren) |
$18.86 |
Family |
$29.28 |
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