Protect your smile with one of our PPO or HMO dental plans. You’ll enjoy a range of dental benefits including exams, cleanings, and x-rays for $0.
Not sure which plan to choose? We can help. HMO plans generally cost less per month and have lower out-of-pocket costs for services compared with PPO plans. PPO plans offer more flexibility in your choice of dentist. You can add a vision plan for as little as $6.50 per month to round out your coverage.
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Apply for dental coverage:
Call 888-273-4546 to talk to a licensed specialty expert or to enroll.
Compare plan benefits
Bolded values = Benefit is subject to a deductible
| Dental Standard HMO | Dental HMO | Enhanced Dental PPO 25/500 | Enhanced Dental PPO 50/1250 | Dental PPO | Specialty DuoSM dental + vision package* | Enhanced Dental PPO 50/2000 | Enhanced Dental PPO 50/2000 Lifetime Ortho 1500 | Family Dental HMO | Family Dental PPO | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age: | 0-25** | 26+ | 0-25** | 26+ | 0-25** | 26+ | 0-25** | 26+ | 0-25** | 26+ | 0-25** | 26+ | 0-25** | 26+ | 0-25** | 26+ | 0-18** | 19+ | 0-18** | 19+ |
| Monthly rates starting at:+ | $11.50 | $14.20 | $22.30 | $24.30 | $25.40 | $32.50 | $31.50 | $40.50 | $36.40 | $43.10 | $41.10 | $48.30 | $49.90 | $64.30 | $54.30 | $69.90 | $14.00 | $13.40 | $28.80 | $43.70 |
| Benefit | With participating providers, members pay:1 |
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| Diagnostic and preventive services | $0 | $0 | 0% | 0% | $02 | $02 | 0% | 0% | 0% | 0% | ||||||||||
| Restorative services – fillings | $20 | $18 | 20%3 | 20%3 | $374 | $374 | 20%3 | 20%3 | $25 | 20% | ||||||||||
| Oral surgery | $75 | $70 | 20%3 | 20%3 | $404 | $404 | 20%3 | 20%3 | $65 | 50%3 | ||||||||||
| Removal of impacted tooth | $225 | $125 | 50%5 | 50%5 | $1134 | $1134 | 50%5 | 50%5 | $160 | 50%3 | ||||||||||
| Root canal (anterior root canal) | $175 | $155 | 50%5 | 50%5 | $1564 | $1564 | 50%5 | 50%5 | $200 | 50%3 | ||||||||||
| Root canal (molar) | $355 | $290 | 50%5 | 50%5 | $2344 | $2344 | 50%5 | 50%5 | $300 | 50%3,6 | ||||||||||
| Crowns | $3506 | $3006 | 50%5 | 50%5 | $3205 | $3205 | 50%5 | 50%5 | $300 | 50%3,6 | ||||||||||
| Orthodontics | $2,350 for under age 26, fully banded, two years $2,650 for age 26+, fully banded, two years |
$2,350 for under age 26, fully banded, two years5 $2,650 for age 26+, fully banded, two years5 |
Not covered | Not covered | $2,350 for under age 26, fully banded, two years5,7 $2,650 for age 26+, fully banded, two years5,7 |
$2,350 for under age 26, fully banded, two years5,7 $2,650 for age 26+, fully banded, two years5,7 |
Not covered | 50% ($1,500 lifetime maximum and subject to separate deductible)5,7,8 | $350 for under age 19 when medically necessary, not covered for age 19+ | 50% for underage 19 when medically necessary, not covered for age 19+ | ||||||||||
| Denture | $400 | $400 | 50%5 | 50%5 | $3885 | $3885 | 50%5 | 50%5 | $300 for under age 19, $400 age 19+ | 50%3,6 | ||||||||||
| Calendar-year deductible | $0 | $0 | $25 per individual/$75 per family | $50 per individual/$150 per family | $50 per individual | $50 per individual | $50 per individual/$150 per family | $50 per individual/$150 per family | $0 | $75 per individual/$150 per family for up to age 19, $50 per individual for age 19+ | ||||||||||
| Calendar-year benefit maximum | None | None | $500 per individual | $1,250 per individual | $1,000 per individual | $1,000 per individual | $2,000 per individual | $2,000 per individual | None | None for under age 19, $1500 per individual age 19+ | ||||||||||
