Good dental care is an important part of your overall health. Our dental plans help you keep your smile healthy through regular preventive dental care and offers coverage to fix problems as soon as they occur.
Each plan details are shown below, so click the Details Buttons to review the plans. Next, think about the type of dental services you’ll need in the coming year, run the numbers and determine which plan meets your needs. The lowest premium may or may not be your best choice. Making the right choice now will ensure you have a big toothy grin once you start using your dental benefits.
| 2025 Dental Plan Rates | ||||||
|---|---|---|---|---|---|---|
| High Plan | Low Plan | DHMO | ||||
| Weekly | Bi-Weekly | Weekly | Bi-Weekly | Weekly | Bi-Weekly | |
| Employee Only | $9.07 | $18.14 | $7.85 | $15.70 | $3.37 | $6.74 |
| Employee + 1 | $21.66 | $43.32 | $16.02 | $32.04 | $6.88 | $13.76 |
| Employee + 2 | $31.44 | $62.87 | $24.67 | $49.35 | $10.59 | $21.17 |
With either of the PPO Dental High or Low plans, you may visit any dentist. Keep in mind, you’ll receive the highest coverage when you use an in-network provider. Visiting an out-of-network provider, limits your savings. You will not benefit from discounted rates and will pay more for out-of-pocket for services.
| PPO (LOW) Dental Plans Coverage | ||
|---|---|---|
| Plan Features | In-Network | Out-Of-Network |
| Calendar Year Deductible (Waived for Preventive Services) |
$50 Individual $150 Family |
$50 Individual $150 Family |
| Diagnostic and Preventive Services (e.g., x-rays, cleanings, exams) | No Charge | No Charge |
| Basic and Restorative Services (e.g., fillings, extractions, root canals) | 80% | 80% |
| Major Services (e.g., dentures, crowns, bridges) | 50% | 50% |
| Calendar Year Benefit Maximum | $1,500 | $1,500 |
| Orthodontia - Children and adults (Lifetime Maximum) | N/A | N/A |
| The network percentage of benefits is based on the discounted fees negotiated with the provider. The non-network percentage of benefits is based on the usual and customary fees in the geographic areas in which the expenses are incurred. | ||
| PPO (HIGH) Dental Plans Coverage | ||
|---|---|---|
| Plan Features | In-Network | Out-Of-Network |
| Calendar Year Deductible (Waived for Preventive Services) |
$50 Individual $150 Family |
$50 Individual $150 Family |
| Diagnostic and Preventive Services (e.g., x-rays, cleanings, exams) | No Charge | No Charge |
| Basic and Restorative Services (e.g., fillings, extractions, root canals) | 90% | 80% |
| Major Services (e.g., dentures, crowns, bridges) | 60% | 50% |
| Calendar Year Benefit Maximum | $1,500 | $1,500 |
| Orthodontia - Children and adults (Lifetime Maximum) | 50% to a maximum of $1,500 | N/A |
| The network percentage of benefits is based on the discounted fees negotiated with the provider. The non-network percentage of benefits is based on the usual and customary fees in the geographic areas in which the expenses are incurred. | ||
With the HMO dental plan, you select a primary dentist who will coordinate your dental care needs, including referrals to specialists. You typically pay a copay for qualified dental services. The DHMO plan offers in-network coverage only. If you visit a provider outside of the plan’s network, you will be responsible for the full cost of services.
The DHMO plan is not currently offered in these states: AL, AR, DE, HI, IA, ID, KS, KY, LA, MA, ME, MS, MT, ND, NE, NH, NM, OK, SD, VT, WV, WY.
| HMO Dental Plan (DHMO) Coverage | ||
|---|---|---|
| Plan Features | In-Network | Out-Of-Network |
|
Calendar Year Deductible (Waived for Preventive Services) |
None | None |
|
Diagnostic and Preventive Services (e.g., x-rays, cleanings, exams) |
$0 - $50 Copay (Exception: Cone Beam CT for TMJ is $240) |
$0 - $50 Copay (Exception: Cone Beam CT for TMJ is $240) |
|
Basic and Restorative Services (e.g., fillings, extractions, root canals) |
$0 -$95 Copay | $0 -$95 Copay |
|
Major Services (e.g., dentures, crowns, bridges) |
$0 -$720 Copay (Implant Procedures Range) |
$0 -$720 Copay (Implant Procedures Range) |
| Calendar Year Benefit Maximum | None | None |
|
Orthodontia - Children and adults (Lifetime Maximum) |
Children (to age 19) 24 Month Treatment Fee: $1,464 Adult 24 Month Treatment Fee: $2,160 No annual maximum |
Children (to age 19) 24 Month Treatment Fee: $1,464 Adult 24 Month Treatment Fee: $2,160 No annual maximum |
|
The DHMO plan is not currently offered in these states: AL, AR, DE, HI, IA, ID, KS, KY, LA,MA, ME, MS, MT, ND, NE, NH, NM, OK, SD, VT, WV, WY. |
||
| The network percentage of benefits is based on the discounted fees negotiated with the provider. The non-network percentage of benefits is based on the usual and customary fees in the geographic areas in which the expenses are incurred. | ||
