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
Annual Plan Max (Individual/Family)
$1,000
Preventive Care
$0
Basic Services
20%
Major Procedures
50%
Orthodontia (Children up to age 19)
50% up to a lifetime maximum benefit of $1,500 per individual; deductible waived
Out-of-Network
Deductible (Individual/Family)
$50/$150
Annual Plan Max (Individual/Family)
$1,000
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
Weekly Plan Cost
Employee Only: $2.85
Employee and Spouse: $6.57
Employee and Child(ren): $8.12
Employee and Family: $12.96
Semi-Monthly Plan Cost
Employee Only: $6.17
Employee and Spouse: $14.24
Employee and Child(ren): $17.58
Employee and Family: $28.07
Buy-Up Plan
Benefit Highlights
In-Network
Deductible (Individual/Family)
None
Annual Plan Max (Individual/Family)
$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
Out-of-Network
Deductible (Individual/Family)
None
Annual Plan Max (Individual/Family)
$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
Weekly Plan Cost
Employee Only: $4.14
Employee and Spouse: $9.46
Employee and Child(ren): $11.75
Employee and Family: $18.53
Semi-Monthly Plan Cost
Employee Only: $8.98
Employee and Spouse: $20.50
Employee and Child(ren): $25.45
Employee and Family: $40.15