- 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
$33.94/month
$62.33/month
Member +1
$67.88/month
$124.66/month
Member +Family
$115.87/month
$156.67/month
Deductible
$75.00 per year/person
$75.00 per year/person
In Network
$1,250.00 per year/person
$1,500.00 per year/person
Out of Network
$1,250.00 per year/person
$1,500.00 per year/person
Annual Benefit Threshold
$750.00
$750.00
Annual Maximum Benefit
$1,250.00
$1,500.00
Dental Rewards Carry Over
$250.00
$250.00
Year 2 Maximum Benefit
$1,500.00
$1,750.00
Total Maximum Benefit
$2,250.00
$2,500.00
Preventative
Routine Cleanings
Covers 100%
Covers 100%
Routine Oral Exams
Covers 100%
Covers 100%
Basic
Crown Repair
Covers 70%
Covers 80%
Denture Repair
Covers 70%
Covers 80%
Extractions
Covers 70% (simple)
Covers 50% (complex)
Covers 50%
Fillings
Covers 70%
Covers 80%
X-Rays (all types)
Covers 70%
Covers 80%
Major
Bridge Work
Covers 50%
Not Covered
Crown (all types)
Covers 50%
Covers 50%
Dentures (all types)
Covers 50%
Covers 50%
Root Canal (all types)
Covers 50%
Covers 50%
Extractions
Covers 70% (simple)
Covers 50% (complex)
Covers 50%
General Anesthesia
Covers 50%
Covers 50%
Periodontics
Covers 50%
Covers 50%
Implants
Not Covered
Covers 50%
Oral Surgery
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 January, 2023 to 31 December, 2024.
{
"services": {
"Routine Cleanings": {
"Gold": "Covers 100%",
"Platinum": "Covers 100%"
},
"Routine Oral Exams": {
"Gold": "Covers 100%",
"Platinum": "Covers 100%"
},
"Crown Repair": {
"Gold": "Covers 70%",
"Platinum": "Covers 80%"
},
"Denture Repair": {
"Gold": "Covers 70%",
"Platinum": "Covers 80%"
},
"Extractions": {
"Gold": "Covers 70% (simple)<\/span>
Covers 50% (complex)<\/span>",
"Platinum": "Covers 50%"
},
"Fillings": {
"Gold": "Covers 70%",
"Platinum": "Covers 80%"
},
"X-Rays (all types)": {
"Gold": "Covers 70%",
"Platinum": "Covers 80%"
},
"Bridge Work": {
"Gold": "Covers 50%"
},
"Crown (all types)": {
"Gold": "Covers 50%",
"Platinum": "Covers 50%"
},
"Dentures (all types)": {
"Gold": "Covers 50%",
"Platinum": "Covers 50%"
},
"Root Canal (all types)": {
"Gold": "Covers 50%",
"Platinum": "Covers 50%"
},
"General Anesthesia": {
"Gold": "Covers 50%",
"Platinum": "Covers 50%"
},
"Periodontics": {
"Gold": "Covers 50%",
"Platinum": "Covers 50%"
},
"Implants": {
"Platinum": "Covers 50%"
},
"Oral Surgery": {
"Platinum": "Covers 50%"
}
},
"plans": {
"Gold": {
"inEffect": "2021-01-01T00:00:00",
"marketingInEffect": "2021-01-01T00:00:00",
"outOfEffect": "2024-12-31T00:00:00",
"marketingOutOfEffect": "2024-11-15T00:00:00",
"policyNumber": "350520",
"cleaningsPerPeriod": 2,
"cleaningPeriod": "Calendar Year",
"orthoEliminationPeriod": 0,
"examFrequency": 2,
"examPeriod": "Calendar Year",
"orthoCoverageDescription": "None",
"orthoLifetimeMax": 0,
"orthoCoInsurance": 0,
"annualPlanMax": 1250,
"outOfNetAnnualPlanMax": 1250,
"rewardsThreshold": 750,
"rewardsAnnualRollover": 250,
"ppobonus": 150,
"rewardsMaxRollover": 1000,
"waitingPeriod": null,
"notes": null,
"deductible": 75,
"familyDeductibleMax": 0,
"dentalRewards": true,
"planLevel": "Gold",
"dentalNetworkDescription": "Non-PPO \/ Out-Of-Network Benefits",
"frequencyType": "Annual",
"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": 33.94,
"coverage": "Member",
"areaName": null
},
{
"rate": 67.88,
"coverage": "Member +1",
"areaName": null
},
{
"rate": 115.87,
"coverage": "Member +Family",
"areaName": null
}
],
"dentalPlanRateBandState": [],
"dentalPlanType": [
{
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"inNetworkPercent": 1,
"outOfNetworkPercent": 1,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
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{
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},
{
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}
]
},
{
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"inNetworkPercent": 0.7,
"outOfNetworkPercent": 0.7,
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{
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{
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"frequencyType": null,
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},
{
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"frequencyType": null,
"name": "Extraction (simple)"
},
{
"frequency": 0,
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"frequencyType": null,
"name": "Fillings"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "X-rays"
}
]
},
{
"dentalType": null,
"inNetworkPercent": 0.5,
"outOfNetworkPercent": 0.5,
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"dentalPlanTypeIncentive": [],
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{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Bridge Work"
},
{
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"frequencyType": null,
"name": "Crowns"
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{
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{
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"frequencyType": null,
"name": "Endodontics (root canals)"
},
{
"frequency": 0,
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"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": "2021-01-01",
"inEffectTimestamp": 1609480800,
"outOfEffectDate": "2024-12-31",
"outOfEffectTimestamp": 1735624800,
"marketingInEffectDate": "2021-01-01",
"marketingInEffectTimestamp": 1609480800,
"inEffectDateCalc": "2021-01-01",
"marketingOutOfEffectDate": "2024-11-15",
"marketingOutOfEffectTimestamp": 1731650400,
"startTimestamp": 1730437200,
"isInEffect": true,
"marketingIsInEffect": true,
"planLevelText": "Essential Coverage",
"frequencyText": "per year & per person",
"frequencyTextAlt": "per year\/person",
"planCoverage": [
{
"rate": 33.94,
"coverage": "Member",
"areaName": null
},
{
"rate": 67.88,
"coverage": "Member +1",
"areaName": null
},
{
"rate": 115.87,
"coverage": "Member +Family",
"areaName": null
}
],
"planType": "dental",
"types": [
{
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"inNetworkPercent": 1,
"outOfNetworkPercent": 1,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
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{
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"frequencyType": "Plan Period",
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},
{
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"frequencyType": "Plan Period",
"name": "Routine Oral Exams"
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],
"covers": "Covers 100%"
},
{
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{
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{
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{
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"name": "Fillings"
},
{
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"frequencyType": null,
"name": "X-rays"
}
],
"covers": "Covers 70%"
},
{
"dentalType": null,
"inNetworkPercent": 0.5,
"outOfNetworkPercent": 0.5,
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{
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],
"covers": "Covers 50%"
}
],
"waived": [],
"waivedLabeled": false
},
"Platinum": {
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"marketingInEffect": "2022-11-15T00:00:00",
"outOfEffect": "2024-12-31T00:00:00",
"marketingOutOfEffect": "2024-11-15T00:00:00",
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"orthoCoInsurance": 0,
"annualPlanMax": 1500,
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"rewardsThreshold": 750,
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"ppobonus": 150,
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"planLevel": "Platinum",
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"frequencyType": "Annual",
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},
{
"rate": 124.66,
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{
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],
"dentalPlanRateBandState": [],
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"name": "Routine Cleanings"
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]
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{
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{
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{
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"dentalPlanTypeIncentive": [],
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{
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{
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{
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},
{
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"frequencyType": null,
"name": "Implants"
},
{
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"mceamount": 0,
"frequencyType": null,
"name": "Oral Surgery"
},
{
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"name": "Periodontics (gum disease)"
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{
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"frequencyType": null,
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}
]
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],
"inEffectDate": "2023-01-01",
"inEffectTimestamp": 1672552800,
"outOfEffectDate": "2024-12-31",
"outOfEffectTimestamp": 1735624800,
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"marketingInEffectTimestamp": 1668492000,
"inEffectDateCalc": "2022-11-15",
"marketingOutOfEffectDate": "2024-11-15",
"marketingOutOfEffectTimestamp": 1731650400,
"startTimestamp": 1730437200,
"isInEffect": true,
"marketingIsInEffect": true,
"planLevelText": "Most Comprehensive",
"frequencyText": "per year & per person",
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"planCoverage": [
{
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"areaName": null
},
{
"rate": 124.66,
"coverage": "Member +1",
"areaName": null
},
{
"rate": 156.67,
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"areaName": null
}
],
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{
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"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 2,
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"frequencyType": "Plan Period",
"name": "Routine Cleanings"
},
{
"frequency": 2,
"mceamount": 0,
"frequencyType": "Plan Period",
"name": "Routine Oral Exams"
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],
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},
{
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"name": "Crown Repair"
},
{
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"name": "Denture Repair"
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{
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"name": "Fillings"
},
{
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"name": "X-rays"
}
],
"covers": "Covers 80%"
},
{
"dentalType": null,
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"outOfNetworkPercent": 0.5,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
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{
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"frequencyType": null,
"name": "Crowns"
},
{
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"name": "Dentures"
},
{
"frequency": 0,
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"frequencyType": null,
"name": "Endodontics (root canals)"
},
{
"frequency": 0,
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"frequencyType": null,
"name": "General Anesthesia"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Implants"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Oral Surgery"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Periodontics (gum disease)"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Extractions"
}
],
"covers": "Covers 50%"
}
],
"waived": [],
"waivedLabeled": false
}
},
"procedures": {
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"": 1
},
"Routine Oral Exams": {
"": 1
},
"Crown Repair": {
"": 1
},
"Denture Repair": {
"": 1
},
"Extractions": {
"simple)": 1,
"complex)": 1,
"": 1
},
"Fillings": {
"": 1
},
"X-Rays": {
"all types)": 1
},
"Bridge Work": {
"": 1
},
"Crown": {
"all types)": 1
},
"Dentures": {
"all types)": 1
},
"Root Canal": {
"all types)": 1
},
"General Anesthesia": {
"": 1
},
"Periodontics": {
"": 1
},
"Implants": {
"": 1
},
"Oral Surgery": {
"": 1
}
},
"coverage": {
"Member": {
"Gold": 33.94,
"Platinum": 62.33
},
"Member +Associate": [],
"Member +Spouse": [],
"Member +1": {
"Gold": 67.88,
"Platinum": 124.66
},
"Member +Family": {
"Gold": 115.87,
"Platinum": 156.67
},
"Member +Children": []
},
"annualPlanMax": {
"Gold": 1250,
"Platinum": 1500
},
"outOfNetAnnualPlanMax": {
"Gold": 1250,
"Platinum": 1500
},
"rewardsThreshold": {
"Gold": 750,
"Platinum": 750
},
"rewardsAnnualRollover": {
"Gold": 250,
"Platinum": 250
},
"rewardsMaxRollover": {
"Gold": 1000,
"Platinum": 1000
},
"type_1": {
"inNetworkPercent": {
"Gold": 1,
"Platinum": 1
},
"outOfNetworkPercent": {
"Gold": 1,
"Platinum": 1
},
"deductibleWaived": {
"Gold": false,
"Platinum": false
},
"services": {
"Routine Cleanings": {
"Gold": 1,
"Platinum": 1
},
"Routine Oral Exams": {
"Gold": 1,
"Platinum": 1
}
}
},
"type_2": {
"inNetworkPercent": {
"Gold": 0.7,
"Platinum": 0.8
},
"outOfNetworkPercent": {
"Gold": 0.7,
"Platinum": 0.8
},
"deductibleWaived": {
"Gold": false,
"Platinum": false
},
"services": {
"Crown Repair": {
"Gold": 1,
"Platinum": 1
},
"Denture Repair": {
"Gold": 1,
"Platinum": 1
},
"Extractions": {
"Gold": 1
},
"Fillings": {
"Gold": 1,
"Platinum": 1
},
"X-Rays (all types)": {
"Gold": 1,
"Platinum": 1
}
}
},
"type_3": {
"inNetworkPercent": {
"Gold": 0.5,
"Platinum": 0.5
},
"outOfNetworkPercent": {
"Gold": 0.5,
"Platinum": 0.5
},
"deductibleWaived": {
"Gold": false,
"Platinum": false
},
"services": {
"Bridge Work": {
"Gold": 1
},
"Crown (all types)": {
"Gold": 1,
"Platinum": 1
},
"Dentures (all types)": {
"Gold": 1,
"Platinum": 1
},
"Root Canal (all types)": {
"Gold": 1,
"Platinum": 1
},
"Extractions": {
"Gold": 1,
"Platinum": 1
},
"General Anesthesia": {
"Gold": 1,
"Platinum": 1
},
"Periodontics": {
"Gold": 1,
"Platinum": 1
},
"Implants": {
"Platinum": 1
},
"Oral Surgery": {
"Platinum": 1
}
}
}
};