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.
Dental Low Plan
Benefit Highlights
In-Network
Deductible (Individual/Family)
$50/$150
Annual Plan Max (per Individual)
$2,000
Preventive Care
$0
Basic Services
15%
Major Procedures
50%
Orthodontia (Children)
50% up to a lifetime maximum benefit of $1,000 per individual; deductible waived
Out-of-Network
Deductible (Individual/Family)
$50/$150
Annual Plan Max (per Individual)
$2,000
Preventive Care
$0
Basic Services
15%
Major Procedures
50%
Orthodontia (Children)
50% up to a lifetime maximum benefit of $1,000 per individual; deductible waived
Plan Cost
Weekly
Employee Only: $1.38
Employee and Spouse: $4.03
Employee and Child(ren): $4.06
Employee and Family: $7.96
Biweekly
Employee Only: $2.77
Employee and Spouse: $8.07
Employee and Child(ren): $8.11
Employee and Family: $15.91
Dental High Plan
Benefit Highlights
In-Network
Deductible (Individual/Family)
$50/$150
Annual Plan Max (Individual/Family)
$3,000
Preventive Care
$0
Basic Services
15%
Major Procedures
50%
Orthodontia (Children)
50% up to a lifetime maximum benefit of $2,000 per individual; deductible waived
Out-of-Network
Deductible (Individual/Family)
$50/$150
Annual Plan Max (Individual/Family)
$3,000
Preventive Care
$0
Basic Services
15%
Major Procedures
50%
Orthodontia (Children)
50% up to a lifetime maximum benefit of $2,000 per individual; deductible waived
Plan Cost
Weekly
Employee Only: $4.15
Employee and Spouse: $9.65
Employee and Child(ren): $9.70
Employee and Family: $16.45
Biweekly
Employee Only: $8.31
Employee and Spouse: $19.29
Employee and Child(ren): $19.40
Employee and Family: $32.89