• Individual Dental

Questions about which plan is right for you? Let us help.
801-442-6293

To qualify for and select an individual or family dental plan, you must enroll in a SelectHealth Individual or Family medical plan


Dental Traditional Plans 


If you choose a traditional plan, you must see participating providers on your SelectHealth Dental network. A buy-up option gives you access to nonparticipating providers.
Benefits​ ​Participating
​Nonparticipating
(optional buy-up)
Deductib​​le​
(Indiviual/Family)
$50/$150


Individual ​​​
$750/$1,000/$1,500
$750/$1,000/$1,500
Preventive and Diagnostic
(No waiting period)
Oral exams, cleanings, flouride, x-rays
No Charge/ No Charge/10% after deductible


2
0/20/30% after deductible
(Six month waiting period without prior coverage)
Fillings, oral surgery, anesthesia for basic services
20/20/30% after deductible
40/40/50% after deductible
Major
(12 month waiting period without prior coverage)
Crowns, bridges, dentures, anesthesia for major services, endodontics and periodontics
Plan pays 50% after deductible
Plan pays 60% after deductible


Dental Tiered Plans


This plan has access to both the Fundemental and the Prime networks. Additionally, you can see nonparticiating providers. This plan is designed to encourage use of the Fundamental network for the lowest out-of-pocket cost. 


 Benefits​ Fundamental Network Prime
Network

Nonparticipating


Deductib​​le​
(Indiviual/Family)
​​$0/$0
$50/$150
$100/$300

Individual
​​​
$2,000

​​ ​$1,000
Preventive and Diagnostic
(No waiting period)
Oral exams, cleanings, flouride, x-rays
​​No charge No Charge
 

No Charge
after deductible

(Six month waiting period without prior coverage)
Fillings, oral surgery, anesthesia for basic services
20% 20% after deductible 40% after deductible
Major
(12 month waiting period without prior coverage)
Crowns, bridges, dentures, anesthesia for major services, endodontics, and periodontics, anesthesia for major services
50%​ 50%​ after deductible

​​​​




ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame a SelectHealth Advantage: 1-855-442-9900 (TTY: 711) / SelectHealth: 1-800-538-5038.


Cerrar

注意:如果您使用繁體中文,您可以免費獲得語言援助服務。請致電SelectHealth Advantage: 1-855-442-9900 (TTY: 711) / SelectHealth: 1-800-538-5038. 。


退出

CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số SelectHealth Advantage: 1-855-442-9900 (TTY: 711) / SelectHealth: 1-800-538-5038.


Thoát

주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. SelectHealth Advantage: 1-855-442-9900 (TTY: 711) / SelectHealth: 1-800-538-5038. 번으로 전화해 주십시오.


종료

ध्यान दिनुहोस्: तपार्इंले नेपाली बोल्नुहुन्छ भने तपार्इंको निम्ति भाषा सहायता सेवाहरू निःशुल्क रूपमा उपलब्ध छ । SelectHealth Advantage: 1-855-442-9900 (TTY: 711)/ SelectHealth: 1-800-538-5038 मा फोन गर्नुहोस्।


बाहिरनिस्कनुहोस्

FAKATOKANGA’I: Kapau ‘oku ke lea fakatonga, ko e kau fakatonu lea te nau tokoni atu ta’etotongi, pea te ke lava ‘o ma’u ia. Telefoni ki he SelectHealth Advantage: 1-855-442-9900 (TTY: 711) / SelectHealth: 1-800-538-5038.


Hū‘anga ki tu‘a

ОБАВЕШТЕЊЕ: Ако говорите српски језик, услуге језичке помоћи доступне су вам бесплатно. Позовите Select Health Advantage: 1-855-442-9900 (TTY- Телефон за особе са отежаним говором или оштећеним слухом: 711)/Select Health: 1-800-538-5038.


IZLAZ

PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa SelectHealth Advantage: 1-855-442-9900 (TTY: 711) / SelectHealth: 1-800-538-5038.


Isara

ملحوظة: إذا كنت تتحدث العربية، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان. اتصل بشركة SelectHealth Advantage: 1-855-442-9900 (رقم هاتف الصم والبكم: 711) / SelectHealth: 1-800-538-5038.


خروج

ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: SelectHealth Advantage: 1-855-442-9900 (TTY: 711) / SelectHealth: 1-800-538-5038.


Beenden

ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги переводчика. Позвоните SelectHealth Advantage: 1-855-442-9900 (телетайп: 711) / SelectHealth: 1-800-538-5038.


выйти

សម្គាល់៖ បើសិនជាអ្នកនិយាយ ភាសាខ្មែរ សេវាជំនួយផ្នែកភាសា ដោយមិនគិតថ្លៃ គឺអាចមានសំរាប់ អ្នក។ សូមទូរស័ព្ទមក SelectHealth Advantage: 1-855-442-9900 (TTY: 711) / SelectHealth: 1-800-538-5038 ។


ចាកចេញ

注意事項:日本語を話される場合、無料の言語支援をご利用いただけます。SelectHealth Advantage: 1-855-442-9900 (TTY: 711) / SelectHealth: 1-800-538-5038. まで、お電話にてご連絡ください。


終了

ATTENTION : si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Contactez SelectHealth Advantage au 1-855-442-9900 (TTY: 711) / SelectHealth: 1-800-538-5038.


fermer