- 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, and more
- High annual maximum
that can increase after one year
Member
$29.82/month
$46.71/month
Member +1
$58.66/month
$91.33/month
Member +Family
$97.91/month
$149.82/month
Deductible
$75.00
per year/person
(waived for Preventative services)
$75.00
per year/person
(waived for Preventative services)
In Network
$1,000.00 per year/person
$1,500.00 per year/person
Out of Network
$1,000.00 per year/person
$1,500.00 per year/person
Annual Benefit Threshold
$500.00
$750.00
Annual Maximum Benefit
$1,000.00
$1,500.00
Dental Rewards Carry Over
$250.00
$250.00
Year 2 Maximum Benefit
$1,250.00
$1,750.00
Total Maximum Benefit
$2,000.00
$2,500.00
Preventative
Routine Cleanings
Covers 100%
Covers 100%
Routine Oral Exams
Covers 100%
Covers 100%
X-Rays (all types)
Covers 100%
Covers 100%
Basic
Denture Repair
M.C.E. $73 (Each tooth)
Covers 80%
100% after year 3
90% after year 2
Fillings
M.C.E. $73 (2 surface amalgam)
M.C.E. $89 (2 surface resin)
Covers 80%
100% after year 3
90% after year 2
General Anesthesia
M.C.E. $74
Covers 80%
100% after year 3
90% after year 2
Major
Crown
M.C.E. $285 (full cast noble metal)
Covers 50% (all types)
Dentures
M.C.E. $351 (maxillary)
Covers 50% (all types)
Extractions
M.C.E. $36 (simple)
Covers 50%
Root Canal
M.C.E. $197 (anterior tooth)
Covers 50% (all types)
Crown Repair
Not Covered
Covers 50%
Oral Surgery
Not Covered
Covers 50%
Periodontics
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, 2024 to 31 December, 2025.
{
"services": {
"Routine Cleanings": {
"Gold": "Covers 100%",
"Platinum": "Covers 100%"
},
"Routine Oral Exams": {
"Gold": "Covers 100%",
"Platinum": "Covers 100%"
},
"X-Rays (all types)": {
"Gold": "Covers 100%",
"Platinum": "Covers 100%"
},
"Denture Repair": {
"Gold": "M.C.E. $73 (Each tooth)<\/span>",
"Platinum": "Covers 80%
\n100% after year 3<\/span>
\n90% after year 2<\/span>"
},
"Fillings": {
"Gold": "M.C.E. $73 (2 surface amalgam)<\/span>
M.C.E. $89 (2 surface resin)<\/span>",
"Platinum": "Covers 80%
\n100% after year 3<\/span>
\n90% after year 2<\/span>"
},
"General Anesthesia": {
"Gold": "M.C.E. $74",
"Platinum": "Covers 80%
\n100% after year 3<\/span>
\n90% after year 2<\/span>"
},
"Crown": {
"Gold": "M.C.E. $285 (full cast noble metal)<\/span>",
"Platinum": "Covers 50% (all types)<\/span>"
},
"Dentures": {
"Gold": "M.C.E. $351 (maxillary)<\/span>",
"Platinum": "Covers 50% (all types)<\/span>"
},
"Extractions": {
"Gold": "M.C.E. $36 (simple)<\/span>",
"Platinum": "Covers 50%"
},
"Root Canal": {
"Gold": "M.C.E. $197 (anterior tooth)<\/span>",
"Platinum": "Covers 50% (all types)<\/span>"
},
"Crown Repair": {
"Platinum": "Covers 50%"
},
"Oral Surgery": {
"Platinum": "Covers 50%"
},
"Periodontics": {
"Platinum": "Covers 50%"
}
},
"plans": {
"Gold": {
"inEffect": "2022-01-01T00:00:00",
"marketingInEffect": "2022-01-01T00:00:00",
"outOfEffect": "2025-12-31T00:00:00",
"marketingOutOfEffect": "2025-10-28T00:00:00",
"policyNumber": "351003",
"cleaningsPerPeriod": 2,
"cleaningPeriod": "Calendar Year",
"orthoEliminationPeriod": 0,
"examFrequency": 2,
"examPeriod": "Calendar Year",
"orthoCoverageDescription": "None",
"orthoLifetimeMax": 0,
"orthoCoInsurance": 0,
"annualPlanMax": 1000,
"outOfNetAnnualPlanMax": 1000,
"rewardsThreshold": 500,
"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": 29.82,
"coverage": "Member",
"areaName": null
},
{
"rate": 58.66,
"coverage": "Member +1",
"areaName": null
},
{
"rate": 97.91,
"coverage": "Member +Family",
"areaName": null
}
],
"dentalPlanRateBandState": [],
"dentalPlanType": [
{
"dentalType": null,
"inNetworkPercent": 1,
"outOfNetworkPercent": 1,
"deductibleWaived": true,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 2,
"mceamount": 0,
"frequencyType": "Annual",
"name": "Routine Cleanings"
},
{
"frequency": 2,
"mceamount": 0,
"frequencyType": "Annual",
"name": "Routine Oral Exams"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "X-rays"
}
]
},
{
"dentalType": null,
"inNetworkPercent": 0,
"outOfNetworkPercent": 0,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 0,
"mceamount": 73,
"frequencyType": null,
"name": "Denture Repair (Each tooth)"
},
{
"frequency": 0,
"mceamount": 73,
"frequencyType": null,
"name": "Fillings (2 surface amalgam)"
},
{
"frequency": 0,
"mceamount": 89,
"frequencyType": null,
"name": "Fillings (2 surface resin)"
},
{
"frequency": 0,
"mceamount": 74,
"frequencyType": null,
"name": "General Anesthesia"
}
]
},
{
"dentalType": null,
"inNetworkPercent": 0,
"outOfNetworkPercent": 0,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 0,
"mceamount": 285,
"frequencyType": null,
"name": "Crown (full cast noble metal)"
},
{
"frequency": 0,
"mceamount": 351,
"frequencyType": null,
"name": "Denture (maxillary)"
},
{
"frequency": 0,
"mceamount": 36,
"frequencyType": null,
"name": "Extraction (simple)"
},
{
"frequency": 0,
"mceamount": 197,
"frequencyType": null,
"name": "Root Canal (anterior tooth)"
}
]
}
],
"inEffectDate": "2022-01-01",
"inEffectTimestamp": 1641016800,
"outOfEffectDate": "2025-12-31",
"outOfEffectTimestamp": 1767160800,
"marketingInEffectDate": "2022-01-01",
"marketingInEffectTimestamp": 1641016800,
"inEffectDateCalc": "2022-01-01",
"marketingOutOfEffectDate": "2025-10-28",
"marketingOutOfEffectTimestamp": 1761627600,
"startTimestamp": 1730437200,
"isInEffect": true,
"marketingIsInEffect": true,
"planLevelText": "Essential Coverage",
"frequencyText": "per year & per person",
"frequencyTextAlt": "per year\/person",
"planCoverage": [
{
"rate": 29.82,
"coverage": "Member",
"areaName": null
},
{
"rate": 58.66,
"coverage": "Member +1",
"areaName": null
},
{
"rate": 97.91,
"coverage": "Member +Family",
"areaName": null
}
],
"planType": "dental",
"types": [
{
"dentalType": null,
"inNetworkPercent": 1,
"outOfNetworkPercent": 1,
"deductibleWaived": true,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 2,
"mceamount": 0,
"frequencyType": "Annual",
"name": "Routine Cleanings"
},
{
"frequency": 2,
"mceamount": 0,
"frequencyType": "Annual",
"name": "Routine Oral Exams"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "X-rays"
}
],
"covers": "Covers 100%"
},
{
"dentalType": null,
"inNetworkPercent": 0,
"outOfNetworkPercent": 0,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 0,
"mceamount": 73,
"frequencyType": null,
"name": "Denture Repair (Each tooth)"
},
{
"frequency": 0,
"mceamount": 73,
"frequencyType": null,
"name": "Fillings (2 surface amalgam)"
},
{
"frequency": 0,
"mceamount": 89,
"frequencyType": null,
"name": "Fillings (2 surface resin)"
},
{
"frequency": 0,
"mceamount": 74,
"frequencyType": null,
"name": "General Anesthesia"
}
],
"covers": "Covers 0%"
},
{
"dentalType": null,
"inNetworkPercent": 0,
"outOfNetworkPercent": 0,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 0,
"mceamount": 285,
"frequencyType": null,
"name": "Crown (full cast noble metal)"
},
{
"frequency": 0,
"mceamount": 351,
"frequencyType": null,
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},
{
"frequency": 0,
"mceamount": 36,
"frequencyType": null,
"name": "Extraction (simple)"
},
{
"frequency": 0,
"mceamount": 197,
"frequencyType": null,
"name": "Root Canal (anterior tooth)"
}
],
"covers": "Covers 0%"
}
],
"waived": [
1
],
"waivedLabeled": [
"Preventative"
]
},
"Platinum": {
"inEffect": "2024-01-01T00:00:00",
"marketingInEffect": "2023-11-27T00:00:00",
"outOfEffect": "2025-12-31T00:00:00",
"marketingOutOfEffect": "2025-10-28T00:00:00",
"policyNumber": "351003",
"cleaningsPerPeriod": 2,
"cleaningPeriod": "Calendar Year",
"orthoEliminationPeriod": 0,
"examFrequency": 2,
"examPeriod": "Calendar Year",
"orthoCoverageDescription": "None",
"orthoLifetimeMax": 0,
"orthoCoInsurance": 0,
"annualPlanMax": 1500,
"outOfNetAnnualPlanMax": 1500,
"rewardsThreshold": 750,
"rewardsAnnualRollover": 250,
"ppobonus": 150,
"rewardsMaxRollover": 1000,
"waitingPeriod": null,
"notes": null,
"deductible": 75,
"familyDeductibleMax": 0,
"dentalRewards": true,
"planLevel": "Platinum",
"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": 46.71,
"coverage": "Member",
"areaName": null
},
{
"rate": 91.33,
"coverage": "Member +1",
"areaName": null
},
{
"rate": 149.82,
"coverage": "Member +Family",
"areaName": null
}
],
"dentalPlanRateBandState": [],
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{
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"deductibleWaived": true,
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{
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{
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"frequencyType": "Plan Period",
"name": "Routine Oral Exams"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "X-rays"
}
]
},
{
"dentalType": null,
"inNetworkPercent": 0.8,
"outOfNetworkPercent": 0.8,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [
{
"year": 3,
"inNetworkPercent": 1,
"outOfNetworkPercent": 1
},
{
"year": 2,
"inNetworkPercent": 0.9,
"outOfNetworkPercent": 0.9
}
],
"dentalPlanTypeProcedure": [
{
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"mceamount": 0,
"frequencyType": null,
"name": "Denture Repair"
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{
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"mceamount": 0,
"frequencyType": null,
"name": "Fillings"
},
{
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"mceamount": 0,
"frequencyType": null,
"name": "General Anesthesia"
}
]
},
{
"dentalType": null,
"inNetworkPercent": 0.5,
"outOfNetworkPercent": 0.5,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Crown Repair"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Crowns"
},
{
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"mceamount": 0,
"frequencyType": null,
"name": "Dentures"
},
{
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"mceamount": 0,
"frequencyType": null,
"name": "Endodontics (root canals)"
},
{
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"frequencyType": null,
"name": "Oral Surgery"
},
{
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"frequencyType": null,
"name": "Periodontics (gum disease)"
},
{
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"frequencyType": null,
"name": "Extractions"
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]
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],
"inEffectDate": "2024-01-01",
"inEffectTimestamp": 1704088800,
"outOfEffectDate": "2025-12-31",
"outOfEffectTimestamp": 1767160800,
"marketingInEffectDate": "2023-11-27",
"marketingInEffectTimestamp": 1701064800,
"inEffectDateCalc": "2023-11-27",
"marketingOutOfEffectDate": "2025-10-28",
"marketingOutOfEffectTimestamp": 1761627600,
"startTimestamp": 1730437200,
"isInEffect": true,
"marketingIsInEffect": true,
"planLevelText": "Most Comprehensive",
"frequencyText": "per year & per person",
"frequencyTextAlt": "per year\/person",
"planCoverage": [
{
"rate": 46.71,
"coverage": "Member",
"areaName": null
},
{
"rate": 91.33,
"coverage": "Member +1",
"areaName": null
},
{
"rate": 149.82,
"coverage": "Member +Family",
"areaName": null
}
],
"planType": "dental",
"types": [
{
"dentalType": null,
"inNetworkPercent": 1,
"outOfNetworkPercent": 1,
"deductibleWaived": true,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
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"mceamount": 0,
"frequencyType": "Plan Period",
"name": "Routine Cleanings"
},
{
"frequency": 2,
"mceamount": 0,
"frequencyType": "Plan Period",
"name": "Routine Oral Exams"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "X-rays"
}
],
"covers": "Covers 100%"
},
{
"dentalType": null,
"inNetworkPercent": 0.8,
"outOfNetworkPercent": 0.8,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [
{
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"inNetworkPercent": 1,
"outOfNetworkPercent": 1
},
{
"year": 2,
"inNetworkPercent": 0.9,
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}
],
"dentalPlanTypeProcedure": [
{
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"mceamount": 0,
"frequencyType": null,
"name": "Denture Repair"
},
{
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"name": "Fillings"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "General Anesthesia"
}
],
"covers": "Covers 80%\n100% after year 3<\/span>\n90% after year 2<\/span>"
},
{
"dentalType": null,
"inNetworkPercent": 0.5,
"outOfNetworkPercent": 0.5,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
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"mceamount": 0,
"frequencyType": null,
"name": "Crown Repair"
},
{
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"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": "Oral Surgery"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Periodontics (gum disease)"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Extractions"
}
],
"covers": "Covers 50%"
}
],
"waived": [
1
],
"waivedLabeled": [
"Preventative"
]
}
},
"procedures": {
"Routine Cleanings": {
"": 1
},
"Routine Oral Exams": {
"": 1
},
"X-Rays": {
"all types)": 1
},
"Denture Repair": {
"Each tooth)": 1,
"": 1
},
"Fillings": {
"2 surface amalgam)": 1,
"2 surface resin)": 1,
"": 1
},
"General Anesthesia": {
"": 1
},
"Crown": {
"full cast noble metal)": 1,
"all types)": 1
},
"Dentures": {
"maxillary)": 1,
"all types)": 1
},
"Extractions": {
"simple)": 1,
"": 1
},
"Root Canal": {
"anterior tooth)": 1,
"all types)": 1
},
"Crown Repair": {
"": 1
},
"Oral Surgery": {
"": 1
},
"Periodontics": {
"": 1
}
},
"coverage": {
"Member": {
"Gold": 29.82,
"Platinum": 46.71
},
"Member +Associate": [],
"Member +Spouse": [],
"Member +1": {
"Gold": 58.66,
"Platinum": 91.33
},
"Member +Family": {
"Gold": 97.91,
"Platinum": 149.82
},
"Member +Children": []
},
"annualPlanMax": {
"Gold": 1000,
"Platinum": 1500
},
"outOfNetAnnualPlanMax": {
"Gold": 1000,
"Platinum": 1500
},
"rewardsThreshold": {
"Gold": 500,
"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": true,
"Platinum": true
},
"services": {
"Routine Cleanings": {
"Gold": 1,
"Platinum": 1
},
"Routine Oral Exams": {
"Gold": 1,
"Platinum": 1
},
"X-Rays (all types)": {
"Gold": 1,
"Platinum": 1
}
}
},
"type_2": {
"inNetworkPercent": {
"Gold": 0,
"Platinum": 0.8
},
"outOfNetworkPercent": {
"Gold": 0,
"Platinum": 0.8
},
"deductibleWaived": {
"Gold": false,
"Platinum": false
},
"services": {
"Denture Repair": {
"Gold": 1,
"Platinum": 1
},
"Fillings": {
"Gold": 1,
"Platinum": 1
},
"General Anesthesia": {
"Gold": 1,
"Platinum": 1
}
}
},
"type_3": {
"inNetworkPercent": {
"Gold": 0,
"Platinum": 0.5
},
"outOfNetworkPercent": {
"Gold": 0,
"Platinum": 0.5
},
"deductibleWaived": {
"Gold": false,
"Platinum": false
},
"services": {
"Crown": {
"Gold": 1,
"Platinum": 1
},
"Dentures": {
"Gold": 1,
"Platinum": 1
},
"Extractions": {
"Gold": 1,
"Platinum": 1
},
"Root Canal": {
"Gold": 1,
"Platinum": 1
},
"Crown Repair": {
"Platinum": 1
},
"Oral Surgery": {
"Platinum": 1
},
"Periodontics": {
"Platinum": 1
}
}
}
};