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.
Dental Plan 1
Benefit Highlights
In-Network
Deductible (Individual/Family)
$XX
Annual Plan Max (Individual/Family)
$XX/$XX
Preventive Care
$0
Basic Services
XX%
Major Procedures
XX%
Orthodontia (Adults and Children)
XX% up to a lifetime maximum benefit of $XXX per individual; deductible waived
Out-of-Network
Deductible (Individual/Family)
$XX
Annual Plan Max (Individual/Family)
$XX/$XX
Preventive Care
$0
Basic Services
XX%
Major Procedures
XX%
Orthodontia (Adults and Children)
XX% up to a lifetime maximum benefit of $XXX per individual; deductible waived
Plan Cost
Employee Only: $XX
Employee and Spouse: $XX
Employee and Child(ren): $XX
Employee and Family: $XX
Dental Plan 1
Benefit Highlights
In-Network
Deductible (Individual/Family)
$XX
Annual Plan Max (Individual/Family)
$XX/$XX
Preventive Care
$0
Basic Services
XX%
Major Procedures
XX%
Orthodontia (Adults and Children)
XX% up to a lifetime maximum benefit of $XXX per individual; deductible waived
Out-of-Network
Deductible (Individual/Family)
$XX
Annual Plan Max (Individual/Family)
$XX/$XX
Preventive Care
$0
Basic Services
XX%
Major Procedures
XX%
Orthodontia (Adults and Children)
XX% up to a lifetime maximum benefit of $XXX per individual; deductible waived
Plan Cost
Employee Only: $XX
Employee and Spouse: $XX
Employee and Child(ren): $XX
Employee and Family: $XX