Notice

Happy Thanksgiving! Our offices will be operating during normal call center hours from 8:00 AM to 5:00 PM ET on Wednesday, November 27th. We will be closed on Thursday, November 28th and Friday, November 29th to allow our associates time to spend with their families and loved ones. We wish you a wonderful holiday filled with gratitude and joy!


We apologize for any inconvenience this may cause. Please self-service by signing into your account or using our Interactive Voice Response System (IVR) 24/7 at 800-452-9310.

Preventive, Diagnostic & Basic Services

Find the plan that's best for your 10-50 enrolled employee group

PPO 2

100/80/0 plan with 2 maximum options
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Starting at
$21.20*
Benefit Summaries
PPO calendar year maximum$1,000 or $1,250
per enrollee
Premier & Out of Network calendar year maximum$1,000 or $1,250
per enrollee
Deductible$50/$150
Per person/per family (excluding P&D)
                                         Preventive & Diagnostic
Oral exams/evaluations100%
2 per calendar year
Cleanings100%
2 per calendar year
Bitewing X-rays100%
2 per calendar year (through age 18); 1 per calendar year (19+)
Full mouth X-rays100%
1 per 5 years
Sealants100%
Once in a 24-month period per tooth (through age 14)
Topical fluoride100%
2 per calendar year (through age 18)
Space maintainers100%
1 per arch per lifetime (through age 13)
                                                  Basic Services
Fillings80%
Repeat restorations of same surface payable once in 2 years
Composite/resin restorations80%
Composite resin restorations will be covered on all teeth
Simple extractions80%
1 per lifetime per tooth
Root canal therapy80%
1 per lifetime per tooth
Periodontal maintenance80%
2 per calendar year
Scaling and root planing80%
1 per 2 years per quadrant
Periodontal surgeries80%
1 per 3 years per quadrant
Oral surgery80%
Frequencies vary by procedure code
OrthodonticsNot covered
 
Waiting PeriodsNone
Plan Details Collapse

PPO Plus Premier 2

100/80/0 plan with 2 maximum options
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Starting at
$24.33*
Benefit Summaries
PPO calendar year maximum$1,000 or $1,250
per enrollee
Premier & Out of Network calendar year maximum$750 or $1,000
per enrollee
Deductible$50/$150
Per person/per family (excluding P&D)
                                          Preventive & Diagnostic
Oral exams/evaluations100%
2 per calendar year
Cleanings100%
2 per calendar year
Bitewing X-rays100%
2 per calendar year (through age 18); 1 per calendar year (19+)
Full mouth X-rays100%
1 per 5 years
Sealants100%
Once in a 24-month period per tooth (through age 14)
Topical fluoride100%
2 per calendar year (through age 18)
Space maintainers100%
1 per arch per lifetime (through age 13)
                                                  Basic Services
Fillings80%
Repeat restorations of same surface payable once in 2 years
Composite/resin restorations80%
Composite resin restorations will be covered on all teeth
Simple extractions80%
1 per lifetime per tooth
Root canal therapy80%
1 per lifetime per tooth
Periodontal maintenance80%
2 per calendar year
Scaling and root planing80%
1 per 2 years per quadrant
Periodontal surgeries80%
1 per 3 years per quadrant
Oral surgery80%
Frequencies vary by procedure code
OrthodonticsNot covered
 
Waiting PeriodsNone
Plan Details Collapse
* These are benefit highlights only. Additional exclusions and limitations may apply.  Monthly premiums shown are examples only of our lowest monthly rates per employee for employee only coverage. Actual rates vary based on plan choice, your location, and number of people insured. For full details of plans, benefits and pricing, please contact one of our account executives.