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.
Base Plan
Benefit Highlights
In-Network
Deductible (Individual/Family)
$50/$150
Plan Maximum
$1,500
Preventive Care
$0
Basic Services
10%*
Major Procedures
40%*
Orthodontia (Adults)
Not covered
Orthodontia (Children)
50% up to a lifetime maximum benefit of $1,000 per individual; deductible waived
*After deductible
Out-of-Network
Deductible (Individual/Family)
$50/$150
Plan Maximum
$1,500
Preventive Care
10%
Basic Services
30%*
Major Procedures
50%*
Orthodontia (Adults)
Not covered
Orthodontia (Children)
50% up to a lifetime maximum benefit of $1,000 per individual; deductible waived
Bi-Weekly Plan Cost
Employee Only: $3.03
Employee and Spouse: $6.07
Employee and Child(ren): $7.84
Employee and Family: $11.64
Premium Plan
Benefit Highlights
In-Network
Deductible (Individual/Family)
$50/$150
Plan Maximum
$2,000
Preventive Care
$0
Basic Services
20%*
Major Procedures
50%*
Orthodontia (Adults and Children)
50% up to a lifetime maximum benefit of $1,500 per individual; deductible waived
*After deductible
Out-of-Network
Deductible (Individual/Family)
$50/$150
Plan Maximum
$2,000
Preventive Care
$0
Basic Services
20%*
Major Procedures
50%*
Orthodontia (Adults and Children)
50% up to a lifetime maximum benefit of $1,500 per individual; deductible waived
Bi-Weekly Plan Cost
Employee Only: $7.59
Employee and Spouse: $13.66
Employee and Child(ren): $15.18
Employee and Family: $22.76