Individual

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

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 provider.

Plan Comparison

Participating
Non Participating
(optional buy-up)

DEDUCTIBLE

$50/$150

DEDUCTIBLE

$50/$150

ANNUAL MAXIMUM PLAN PAYMENT

Individual 

$750/$1,000/$1,500

ANNUAL MAXIMUM PLAN PAYMENT

Individual

$750/$1,000/$1,500

PREVENTIVE AND DIAGNOSTIC

Oral exams, cleanings, fluoride, x-rays
(No waiting period)

Plan pays 100%/90%

PREVENTIVE AND DIAGNOSTIC

Oral exams, cleanings, fluoride, x-rays
(No waiting period)

Plan pays 80%/70%

BASIC

Fillings, oral surgery, anesthesia for basic services
(Six month waiting period without prior SelectHealth coverage)

Plan pays 80%/70%

BASIC

Fillings, oral surgery, anesthesia for basic services
(Six month waiting period without prior SelectHealth coverage)

Plan pays 60%/50%

MAJOR

Crowns, bridges, dentures, anesthesia for major services, endodontics and periodontics
(12 month waiting period without prior SelectHealth coverage)

Plan pays 50% after deductible

MAJOR

Crowns, bridges, dentures, anesthesia for major services, endodontics and periodontics
(12 month waiting period without prior SelectHealth coverage)

Plan pays 40% after deductible

Network Options

SelectHealth offers three dental networks that range in size and coverage area—Fundamental, Prime, and Classic.

 

Fundamental Dental Network

Fundamental

560+ PARTICIPATING PROVIDERS

The Fundamental network is our smallest but most affordable network. It provides the greatest value to members seeking dental care along the Wasatch Front.
Prime Dental Network

Prime

650+ PARTICIPATING PROVIDERS

The Prime network is our midsized option, providing affordability with more access to dental providers. It extends throughout the Wasatch Front to service members in the most populated counties.
Classic Network

Classic

1,600+ PARTICIPATING PROVIDERS

The Classic network is our largest and most popular plan. It is a statewide network that extends into northern and southern Utah, and provides coverage in rural areas where Prime and Fundamental are not available.

 

Dental Exclusions and Limitations

Our dental plans have exclusions, limitations, and requirements that reduce or limit some of the services that are covered and the level of coverage. For a complete list of exclusions, limitations, and requirements, please contact us or refer to your plan materials.