- Keep your dentist or choose an In-Network dentist and save
- Over 400,000 providers to choose from, whether home or away
- No waiting period on covered services – get access right away
- Covers exams, cleanings, fillings, crowns, implants, and more
- High annual maximum
that can increase after one year
Member
$40.09/month
$53.01/month
Member +Associate
$80.19/month
$106.03/month
Member +Spouse
$96.08/month
$119.30/month
Member +Family
$133.16/month
$148.38/month
Member +Children
$78.32/month
$82.58/month
Deductible
$25.00 per visit/person
$25.00 per visit/person
In Network
$1,200.00 per year/person
$2,000.00 per year/person
Out of Network
$1,200.00 per year/person
$2,000.00 per year/person
Annual Benefit Threshold
$500.00
$750.00
Annual Maximum Benefit
$1,200.00
$2,000.00
Dental Rewards Carry Over
$250.00
$400.00
Year 2 Maximum Benefit
$1,450.00
$2,400.00
Total Maximum Benefit
$2,200.00
$3,200.00
Preventative
Routine Cleanings
Covers 100%
Covers 100%
Routine Oral Exams
Covers 100%
Covers 100%
Basic
Crown Repair
Covers 50%
70% after year 2
60% after year 1
Covers 60%
80% after year 2
70% after year 1
Denture Repair
Covers 50%
70% after year 2
60% after year 1
Covers 60%
80% after year 2
70% after year 1
Extractions
Covers 50%
70% after year 2
60% after year 1 (simple)
Covers 50% (complex)
Covers 60%
80% after year 2
70% after year 1 (simple)
Covers 50% (complex)
Fillings
Covers 50%
70% after year 2
60% after year 1
Covers 60%
80% after year 2
70% after year 1
X-Rays (all types)
Covers 50%
70% after year 2
60% after year 1
Covers 60%
80% after year 2
70% after year 1
Major
Crown (all types)
Covers 50%
Covers 50%
Dentures (all types)
Covers 50%
Covers 50%
Root Canal (all types)
Covers 50%
Covers 50%
Extractions
Covers 50%
70% after year 2
60% after year 1 (simple)
Covers 50% (complex)
Covers 60%
80% after year 2
70% after year 1 (simple)
Covers 50% (complex)
General Anesthesia
Covers 50%
Covers 50%
Periodontics
Covers 50%
Covers 50%
Implants
Not Covered
Covers 50%
Use your current dentist OR Save 25-50% with a dentist in our network.
Find a dentist
(note: Enter zip, select city & state, and Classic PPO network.)
Details may vary based on start date. Please note it may take 10-15 days to process your enrollment. You will receive a ‘welcome to the program’ letter which will include your group number and carrier details. Please consult your policy as the final ultimate source of covered services and program details.
Rates valid from 1 November, 2023 to 31 December, 2024.
{
"services": {
"Routine Cleanings": {
"Choice": "Covers 100%",
"Freedom": "Covers 100%"
},
"Routine Oral Exams": {
"Choice": "Covers 100%",
"Freedom": "Covers 100%"
},
"Crown Repair": {
"Choice": "Covers 50%
\n70% after year 2<\/span>
\n60% after year 1<\/span>",
"Freedom": "Covers 60%
\n80% after year 2<\/span>
\n70% after year 1<\/span>"
},
"Denture Repair": {
"Choice": "Covers 50%
\n70% after year 2<\/span>
\n60% after year 1<\/span>",
"Freedom": "Covers 60%
\n80% after year 2<\/span>
\n70% after year 1<\/span>"
},
"Extractions": {
"Choice": "Covers 50%
\n70% after year 2<\/span>
\n60% after year 1<\/span> (simple)<\/span>
Covers 50% (complex)<\/span>",
"Freedom": "Covers 60%
\n80% after year 2<\/span>
\n70% after year 1<\/span> (simple)<\/span>
Covers 50% (complex)<\/span>"
},
"Fillings": {
"Choice": "Covers 50%
\n70% after year 2<\/span>
\n60% after year 1<\/span>",
"Freedom": "Covers 60%
\n80% after year 2<\/span>
\n70% after year 1<\/span>"
},
"X-Rays (all types)": {
"Choice": "Covers 50%
\n70% after year 2<\/span>
\n60% after year 1<\/span>",
"Freedom": "Covers 60%
\n80% after year 2<\/span>
\n70% after year 1<\/span>"
},
"Crown (all types)": {
"Choice": "Covers 50%",
"Freedom": "Covers 50%"
},
"Dentures (all types)": {
"Choice": "Covers 50%",
"Freedom": "Covers 50%"
},
"Root Canal (all types)": {
"Choice": "Covers 50%",
"Freedom": "Covers 50%"
},
"General Anesthesia": {
"Choice": "Covers 50%",
"Freedom": "Covers 50%"
},
"Periodontics": {
"Choice": "Covers 50%",
"Freedom": "Covers 50%"
},
"Implants": {
"Freedom": "Covers 50%"
}
},
"plans": {
"Choice": {
"inEffect": "2023-11-01T00:00:00",
"marketingInEffect": "2023-10-01T00:00:00",
"outOfEffect": "2024-12-31T00:00:00",
"marketingOutOfEffect": "2024-10-28T00:00:00",
"policyNumber": "010-351103",
"cleaningsPerPeriod": 2,
"cleaningPeriod": "Calendar Year",
"orthoEliminationPeriod": 0,
"examFrequency": 2,
"examPeriod": "Calendar Year",
"orthoCoverageDescription": null,
"orthoLifetimeMax": 0,
"orthoCoInsurance": 0,
"annualPlanMax": 1200,
"outOfNetAnnualPlanMax": 1200,
"rewardsThreshold": 500,
"rewardsAnnualRollover": 250,
"ppobonus": 0,
"rewardsMaxRollover": 1000,
"waitingPeriod": "0",
"notes": null,
"deductible": 25,
"familyDeductibleMax": 0,
"dentalRewards": true,
"planLevel": "Choice",
"dentalNetworkDescription": "Non-PPO \/ Out-Of-Network Benefits",
"frequencyType": "Per Visit",
"carrier": {
"fullName": "Ameritas Life Insurance Corp",
"shortName": "Ameritas",
"logo": "\/img\/ameritas.png",
"creativeApproval": "2020-03-11T19:51:51.743",
"legalName": "Ameritas Life Insurance Corp (Ameritas Life)",
"website": "https:\/\/dentalnetwork.ameritas.com\/",
"phone": "1-877-983-3582",
"instructions": "Enter zip, select city & state, and Classic PPO network."
},
"dentalPlanCoverage": [
{
"rate": 40.09,
"coverage": "Member"
},
{
"rate": 133.16,
"coverage": "Member +Family"
},
{
"rate": 80.19,
"coverage": "Member +Associate"
},
{
"rate": 96.08,
"coverage": "Member +Spouse"
},
{
"rate": 78.32,
"coverage": "Member +Children"
}
],
"dentalPlanType": [
{
"dentalType": null,
"inNetworkPercent": 1,
"outOfNetworkPercent": 1,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 2,
"mceamount": 0,
"frequencyType": "Annual",
"name": "Routine Cleanings"
},
{
"frequency": 2,
"mceamount": 0,
"frequencyType": "Annual",
"name": "Routine Oral Exams"
}
]
},
{
"dentalType": null,
"inNetworkPercent": 0.5,
"outOfNetworkPercent": 0.5,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [
{
"year": 2,
"inNetworkPercent": 0.7,
"outOfNetworkPercent": 0.7
},
{
"year": 1,
"inNetworkPercent": 0.6,
"outOfNetworkPercent": 0.6
}
],
"dentalPlanTypeProcedure": [
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Crown Repair"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Denture Repair"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Extraction (simple)"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Fillings"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "X-rays"
}
]
},
{
"dentalType": null,
"inNetworkPercent": 0.5,
"outOfNetworkPercent": 0.5,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Crowns"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Dentures"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Endodontics (root canals)"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Extraction (complex) "
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "General Anesthesia"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Periodontics (gum disease)"
}
]
}
],
"inEffectDate": "2023-11-01",
"inEffectTimestamp": 1698796800,
"outOfEffectDate": "2024-12-31",
"outOfEffectTimestamp": 1735603200,
"marketingInEffectDate": "2023-10-01",
"marketingInEffectTimestamp": 1696118400,
"inEffectDateCalc": "2023-10-01",
"marketingOutOfEffectDate": "2024-10-28",
"marketingOutOfEffectTimestamp": 1730073600,
"startTimestamp": 1714521600,
"isInEffect": true,
"marketingIsInEffect": true,
"planLevelText": "",
"frequencyText": "per visit & per person",
"frequencyTextAlt": "per visit\/person",
"planCoverage": [
{
"rate": 40.09,
"coverage": "Member"
},
{
"rate": 133.16,
"coverage": "Member +Family"
},
{
"rate": 80.19,
"coverage": "Member +Associate"
},
{
"rate": 96.08,
"coverage": "Member +Spouse"
},
{
"rate": 78.32,
"coverage": "Member +Children"
}
],
"planType": "dental",
"types": [
{
"dentalType": null,
"inNetworkPercent": 1,
"outOfNetworkPercent": 1,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 2,
"mceamount": 0,
"frequencyType": "Annual",
"name": "Routine Cleanings"
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{
"frequency": 2,
"mceamount": 0,
"frequencyType": "Annual",
"name": "Routine Oral Exams"
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],
"covers": "Covers 100%"
},
{
"dentalType": null,
"inNetworkPercent": 0.5,
"outOfNetworkPercent": 0.5,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [
{
"year": 2,
"inNetworkPercent": 0.7,
"outOfNetworkPercent": 0.7
},
{
"year": 1,
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"outOfNetworkPercent": 0.6
}
],
"dentalPlanTypeProcedure": [
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{
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{
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"frequencyType": null,
"name": "Fillings"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "X-rays"
}
],
"covers": "Covers 50%\n70% after year 2<\/span>\n60% after year 1<\/span>"
},
{
"dentalType": null,
"inNetworkPercent": 0.5,
"outOfNetworkPercent": 0.5,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 0,
"mceamount": 0,
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"name": "Crowns"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Dentures"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Endodontics (root canals)"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Extraction (complex) "
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "General Anesthesia"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Periodontics (gum disease)"
}
],
"covers": "Covers 50%"
}
],
"waived": [],
"waivedLabeled": false
},
"Freedom": {
"inEffect": "2023-11-01T00:00:00",
"marketingInEffect": "2023-10-01T00:00:00",
"outOfEffect": "2024-12-31T00:00:00",
"marketingOutOfEffect": "2024-10-28T00:00:00",
"policyNumber": "010-351103",
"cleaningsPerPeriod": 2,
"cleaningPeriod": "Calendar Year",
"orthoEliminationPeriod": 0,
"examFrequency": 2,
"examPeriod": "Calendar Year",
"orthoCoverageDescription": null,
"orthoLifetimeMax": 0,
"orthoCoInsurance": 0,
"annualPlanMax": 2000,
"outOfNetAnnualPlanMax": 2000,
"rewardsThreshold": 750,
"rewardsAnnualRollover": 400,
"ppobonus": 0,
"rewardsMaxRollover": 1200,
"waitingPeriod": null,
"notes": null,
"deductible": 25,
"familyDeductibleMax": 0,
"dentalRewards": true,
"planLevel": "Freedom",
"dentalNetworkDescription": "Non-PPO \/ Out-Of-Network Benefits",
"frequencyType": "Per Visit",
"carrier": {
"fullName": "Ameritas Life Insurance Corp",
"shortName": "Ameritas",
"logo": "\/img\/ameritas.png",
"creativeApproval": "2020-03-11T19:51:51.743",
"legalName": "Ameritas Life Insurance Corp (Ameritas Life)",
"website": "https:\/\/dentalnetwork.ameritas.com\/",
"phone": "1-877-983-3582",
"instructions": "Enter zip, select city & state, and Classic PPO network."
},
"dentalPlanCoverage": [
{
"rate": 53.01,
"coverage": "Member"
},
{
"rate": 148.38,
"coverage": "Member +Family"
},
{
"rate": 106.03,
"coverage": "Member +Associate"
},
{
"rate": 119.3,
"coverage": "Member +Spouse"
},
{
"rate": 82.58,
"coverage": "Member +Children"
}
],
"dentalPlanType": [
{
"dentalType": null,
"inNetworkPercent": 1,
"outOfNetworkPercent": 1,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 2,
"mceamount": 0,
"frequencyType": "Annual",
"name": "Routine Cleanings"
},
{
"frequency": 2,
"mceamount": 0,
"frequencyType": "Annual",
"name": "Routine Oral Exams"
}
]
},
{
"dentalType": null,
"inNetworkPercent": 0.6,
"outOfNetworkPercent": 0.6,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [
{
"year": 2,
"inNetworkPercent": 0.8,
"outOfNetworkPercent": 0.8
},
{
"year": 1,
"inNetworkPercent": 0.7,
"outOfNetworkPercent": 0.7
}
],
"dentalPlanTypeProcedure": [
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Crown Repair"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Denture Repair"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Extraction (simple)"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Fillings"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "X-rays"
}
]
},
{
"dentalType": null,
"inNetworkPercent": 0.5,
"outOfNetworkPercent": 0.5,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Crowns"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Dentures"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Endodontics (root canals)"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Extraction (complex) "
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "General Anesthesia"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Implants"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Periodontics (gum disease)"
}
]
}
],
"inEffectDate": "2023-11-01",
"inEffectTimestamp": 1698796800,
"outOfEffectDate": "2024-12-31",
"outOfEffectTimestamp": 1735603200,
"marketingInEffectDate": "2023-10-01",
"marketingInEffectTimestamp": 1696118400,
"inEffectDateCalc": "2023-10-01",
"marketingOutOfEffectDate": "2024-10-28",
"marketingOutOfEffectTimestamp": 1730073600,
"startTimestamp": 1714521600,
"isInEffect": true,
"marketingIsInEffect": true,
"planLevelText": "",
"frequencyText": "per visit & per person",
"frequencyTextAlt": "per visit\/person",
"planCoverage": [
{
"rate": 53.01,
"coverage": "Member"
},
{
"rate": 148.38,
"coverage": "Member +Family"
},
{
"rate": 106.03,
"coverage": "Member +Associate"
},
{
"rate": 119.3,
"coverage": "Member +Spouse"
},
{
"rate": 82.58,
"coverage": "Member +Children"
}
],
"planType": "dental",
"types": [
{
"dentalType": null,
"inNetworkPercent": 1,
"outOfNetworkPercent": 1,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 2,
"mceamount": 0,
"frequencyType": "Annual",
"name": "Routine Cleanings"
},
{
"frequency": 2,
"mceamount": 0,
"frequencyType": "Annual",
"name": "Routine Oral Exams"
}
],
"covers": "Covers 100%"
},
{
"dentalType": null,
"inNetworkPercent": 0.6,
"outOfNetworkPercent": 0.6,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [
{
"year": 2,
"inNetworkPercent": 0.8,
"outOfNetworkPercent": 0.8
},
{
"year": 1,
"inNetworkPercent": 0.7,
"outOfNetworkPercent": 0.7
}
],
"dentalPlanTypeProcedure": [
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Crown Repair"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Denture Repair"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Extraction (simple)"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Fillings"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "X-rays"
}
],
"covers": "Covers 60%\n80% after year 2<\/span>\n70% after year 1<\/span>"
},
{
"dentalType": null,
"inNetworkPercent": 0.5,
"outOfNetworkPercent": 0.5,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Crowns"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Dentures"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Endodontics (root canals)"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Extraction (complex) "
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "General Anesthesia"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Implants"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Periodontics (gum disease)"
}
],
"covers": "Covers 50%"
}
],
"waived": [],
"waivedLabeled": false
}
},
"procedures": {
"Routine Cleanings": {
"": 1
},
"Routine Oral Exams": {
"": 1
},
"Crown Repair": {
"": 1
},
"Denture Repair": {
"": 1
},
"Extractions": {
"simple)": 1,
"complex)": 1
},
"Fillings": {
"": 1
},
"X-Rays": {
"all types)": 1
},
"Crown": {
"all types)": 1
},
"Dentures": {
"all types)": 1
},
"Root Canal": {
"all types)": 1
},
"General Anesthesia": {
"": 1
},
"Periodontics": {
"": 1
},
"Implants": {
"": 1
}
},
"coverage": {
"Member": {
"Choice": 40.09,
"Freedom": 53.01
},
"Member +Associate": {
"Choice": 80.19,
"Freedom": 106.03
},
"Member +Spouse": {
"Choice": 96.08,
"Freedom": 119.3
},
"Member +1": [],
"Member +Family": {
"Choice": 133.16,
"Freedom": 148.38
},
"Member +Children": {
"Choice": 78.32,
"Freedom": 82.58
}
},
"annualPlanMax": {
"Choice": 1200,
"Freedom": 2000
},
"outOfNetAnnualPlanMax": {
"Choice": 1200,
"Freedom": 2000
},
"rewardsThreshold": {
"Choice": 500,
"Freedom": 750
},
"rewardsAnnualRollover": {
"Choice": 250,
"Freedom": 400
},
"rewardsMaxRollover": {
"Choice": 1000,
"Freedom": 1200
},
"type_1": {
"inNetworkPercent": {
"Choice": 1,
"Freedom": 1
},
"outOfNetworkPercent": {
"Choice": 1,
"Freedom": 1
},
"deductibleWaived": {
"Choice": false,
"Freedom": false
},
"services": {
"Routine Cleanings": {
"Choice": 1,
"Freedom": 1
},
"Routine Oral Exams": {
"Choice": 1,
"Freedom": 1
}
}
},
"type_2": {
"inNetworkPercent": {
"Choice": 0.5,
"Freedom": 0.6
},
"outOfNetworkPercent": {
"Choice": 0.5,
"Freedom": 0.6
},
"deductibleWaived": {
"Choice": false,
"Freedom": false
},
"services": {
"Crown Repair": {
"Choice": 1,
"Freedom": 1
},
"Denture Repair": {
"Choice": 1,
"Freedom": 1
},
"Extractions": {
"Choice": 1,
"Freedom": 1
},
"Fillings": {
"Choice": 1,
"Freedom": 1
},
"X-Rays (all types)": {
"Choice": 1,
"Freedom": 1
}
}
},
"type_3": {
"inNetworkPercent": {
"Choice": 0.5,
"Freedom": 0.5
},
"outOfNetworkPercent": {
"Choice": 0.5,
"Freedom": 0.5
},
"deductibleWaived": {
"Choice": false,
"Freedom": false
},
"services": {
"Crown (all types)": {
"Choice": 1,
"Freedom": 1
},
"Dentures (all types)": {
"Choice": 1,
"Freedom": 1
},
"Root Canal (all types)": {
"Choice": 1,
"Freedom": 1
},
"Extractions": {
"Choice": 1,
"Freedom": 1
},
"General Anesthesia": {
"Choice": 1,
"Freedom": 1
},
"Periodontics": {
"Choice": 1,
"Freedom": 1
},
"Implants": {
"Freedom": 1
}
}
}
};