Large Employer
Dental Plans
Participating
Non Participating
Participating
DEDUCTIBLE
(Individual/Family)
$0-$200/$0-$600
Non Participating
DEDUCTIBLE
(Individual/Family)
$0-$200/$0-$600
Participating
ANNUAL MAXIMUM PLAN PAYMENT
Individual
$1,000-$3,000
Non Participating
ANNUAL MAXIMUM PLAN PAYMENT
Individual
$1,000-$3,000
Participating
PREVENTIVE AND DIAGNOSTIC
Oral exams, cleanings, fluoride, x-rays (No waiting period)
Plan pays 80%-100%
Non Participating
PREVENTIVE AND DIAGNOSTIC
Oral exams, cleanings, fluoride, x-rays (No waiting period)
Plan pays 60%-100%
Participating
BASIC
Fillings, oral surgery, anesthesia for basic services (Six month waiting period without prior coverage)
Plan pays 60%-80% after deductible
Non Participating
BASIC
Fillings, oral surgery, anesthesia for basic services (Six month waiting period without prior coverage)
Plan pays 60%-80% after deductible
Participating
MAJOR
Crowns, bridges, dentures, anesthesia for major services, endodontics and periodontics (periodontics and endodontics can be covered under Basic as a buy-up option) (12 month waiting period without prior coverage)
Plan pays 40%-60% after deductible
Non Participating
MAJOR
Crowns, bridges, dentures, anesthesia for major services, endodontics and periodontics (periodontics and endodontics can be covered under Basic as a buy-up option) (12 month waiting period without prior coverage)
Plan pays 40%-60% after deductible
Participating
IMPLANTS
(Buy-up Option)
Plan pays 40%-60%
Non Participating
IMPLANTS
(Buy-up Option)
Plan pays 40%-60%
Participating
ORTHODONTICS
(Buy-up Option)
Plan pays 40%-60%
Non Participating
ORTHODONTICS
(Buy-up Option)
Plan pays 40%-60%
Participating
ORTHODONTIC LIFETIME MAXIMUM PLAN PAYMENT
Individual
$1,000-$3,000
Non Participating
ORTHODONTIC LIFETIME MAXIMUM PLAN PAYMENT
Individual
$1,000-$3,000