Small Employer

Traditional Plans

Plans Table

Plan Comparison

Participating
Non Participating

DEDUCTIBLE

Individual $50/$100
Family $150/$300

DEDUCTIBLE

Individual $50/$100
Family $150/$300

ANNUAL MAXIMUM PLAN PAYMENT

Per person, per calendar year

$1,000/$1,500/$2,000

ANNUAL MAXIMUM PLAN PAYMENT

Per person, per calendar year

$1,000/$1,500/$2,000
 

PREVENTIVE AND DIAGNOSTIC

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

Plan pays 100%

PREVENTIVE AND DIAGNOSTIC

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

Plan pays 80%

BASIC

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

Plan pays 80% after deductible

BASIC

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

Plan Pays 60% after deductible

MAJOR

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

Plan pays 50% after deductible

MAJOR

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

Plan pays 40% after deductible

IMPLANTS

Plan pays 50% after deductible

IMPLANTS

Plan pays 50% after deductible

ORTHODONTICS

Buy-up option for contributory plans with employers who have at least 10 employees enrolling in dental

Plan pays 50%

ORTHODONTICS

Buy-up option for contributory plans with employers who have at least 10 employees enrolling in dental

Plan pays 50%

ORTHODONTIC LIFETIME MAXIMUM PLAY PAYMENT

Per person

$1,000/$1,500

ORTHODONTIC LIFETIME MAXIMUM PLAY PAYMENT

Per person

$1,000/$1,500

Network Options

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

 

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

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

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.