Dental Plan Highlights

Covered Services


Deductible (applies to Basic and Major only)

$25 per person per coverage year

Annual Benefit Maximum 

$1,250 per calendar year

Preventative Services

(Exam and cleanings twice annually)

100% after deductible

Basic Services

80% after deductible

Major Restoration and Prosthodontic

50% after deductible

Early Smiles Benefits

Preventative, Basic, & Major services covered at 100% for children ages 12 and under for in-network care

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