- 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
$28.48/month
$37.32/month
Member +1
$56.96/month
$70.38/month
Member +Family
$85.44/month
$109.67/month
Deductible
$25.00 per visit/person
$50.00
per year/person
(waived for Preventative services)
In Network
$1,000.00 per year/person
$1,250.00 per year/person
Out of Network
$1,000.00 per year/person
$1,250.00 per year/person
Annual Benefit Threshold
$500.00
$500.00
Annual Maximum Benefit
$1,000.00
$1,250.00
Dental Rewards Carry Over
$250.00
$250.00
Year 2 Maximum Benefit
$1,250.00
$1,500.00
Total Maximum Benefit
$2,000.00
$2,250.00
Preventative
X-Rays
Covers 100% (bitewing)
M.C.E. $59 (full mouth)
Covers 100% (bitewing)
Covers 80% (panoramic)
Routine Cleanings
Covers 100%
Covers 100%
Routine Oral Exams
Covers 100%
Covers 100%
Basic
Denture Repair
M.C.E. $56 (Each tooth)
Covers 80%
Fillings
M.C.E. $63 (2 surface amalgam)
M.C.E. $77 (2 surface resin)
Covers 80%
X-Rays
Covers 100% (bitewing)
M.C.E. $59 (full mouth)
Covers 100% (bitewing)
Covers 80% (panoramic)
Major
Dentures
M.C.E. $370 (complete maxillary)
Covers 50% (all types)
Crown
M.C.E. $300 (full cast noble metal)
Covers 50% (full cast noble metal)
Covers 50% (all types)
Extractions
M.C.E. $38 (simple)
Covers 50%
Implants
M.C.E. $1009
Covers 50%
Root Canal
M.C.E. $320 (molar tooth)
Covers 50% (all types)
Crown Repair
Not Covered
Covers 50%
General Anesthesia
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 September, 2023 to 31 August, 2025.
{
"services": {
"X-Rays": {
"Gold": "Covers 100% (bitewing)<\/span>
M.C.E. $59 (full mouth)<\/span>",
"Platinum": "Covers 100% (bitewing)<\/span>
Covers 80% (panoramic)<\/span>"
},
"Routine Cleanings": {
"Gold": "Covers 100%",
"Platinum": "Covers 100%"
},
"Routine Oral Exams": {
"Gold": "Covers 100%",
"Platinum": "Covers 100%"
},
"Denture Repair": {
"Gold": "M.C.E. $56 (Each tooth)<\/span>",
"Platinum": "Covers 80%"
},
"Fillings": {
"Gold": "M.C.E. $63 (2 surface amalgam)<\/span>
M.C.E. $77 (2 surface resin)<\/span>",
"Platinum": "Covers 80%"
},
"Dentures": {
"Gold": "M.C.E. $370 (complete maxillary)<\/span>",
"Platinum": "Covers 50% (all types)<\/span>"
},
"Crown": {
"Gold": "M.C.E. $300 (full cast noble metal)<\/span>",
"Platinum": "Covers 50% (full cast noble metal)<\/span>
Covers 50% (all types)<\/span>"
},
"Extractions": {
"Gold": "M.C.E. $38 (simple)<\/span>",
"Platinum": "Covers 50%"
},
"Implants": {
"Gold": "M.C.E. $1009",
"Platinum": "Covers 50%"
},
"Root Canal": {
"Gold": "M.C.E. $320 (molar tooth)<\/span>",
"Platinum": "Covers 50% (all types)<\/span>"
},
"Crown Repair": {
"Platinum": "Covers 50%"
},
"General Anesthesia": {
"Platinum": "Covers 50%"
},
"Periodontics": {
"Platinum": "Covers 50%"
}
},
"plans": {
"Gold": {
"inEffect": "2023-09-01T00:00:00",
"marketingInEffect": "2023-07-27T00:00:00",
"outOfEffect": "2025-08-31T00:00:00",
"marketingOutOfEffect": "2025-07-28T00:00:00",
"policyNumber": "350997",
"cleaningsPerPeriod": 2,
"cleaningPeriod": "Benefit Period",
"orthoEliminationPeriod": 0,
"examFrequency": 2,
"examPeriod": "Benefit Period",
"orthoCoverageDescription": "None",
"orthoLifetimeMax": 0,
"orthoCoInsurance": 0,
"annualPlanMax": 1000,
"outOfNetAnnualPlanMax": 1000,
"rewardsThreshold": 500,
"rewardsAnnualRollover": 250,
"ppobonus": 100,
"rewardsMaxRollover": 1000,
"waitingPeriod": null,
"notes": null,
"deductible": 25,
"familyDeductibleMax": 75,
"dentalRewards": true,
"planLevel": "Gold",
"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": 28.48,
"coverage": "Member",
"areaName": null
},
{
"rate": 56.96,
"coverage": "Member +1",
"areaName": null
},
{
"rate": 85.44,
"coverage": "Member +Family",
"areaName": null
}
],
"dentalPlanRateBandState": [],
"dentalPlanType": [
{
"dentalType": null,
"inNetworkPercent": 1,
"outOfNetworkPercent": 1,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Bitewing X-rays"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Routine Cleanings"
},
{
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"frequencyType": null,
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}
]
},
{
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"outOfNetworkPercent": 0,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 0,
"mceamount": 56,
"frequencyType": null,
"name": "Denture Repair (Each tooth)"
},
{
"frequency": 0,
"mceamount": 63,
"frequencyType": null,
"name": "Fillings (2 surface amalgam)"
},
{
"frequency": 0,
"mceamount": 77,
"frequencyType": null,
"name": "Fillings (2 surface resin)"
},
{
"frequency": 0,
"mceamount": 59,
"frequencyType": null,
"name": "Full Mouth X-rays"
}
]
},
{
"dentalType": null,
"inNetworkPercent": 0,
"outOfNetworkPercent": 0,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
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{
"frequency": 0,
"mceamount": 370,
"frequencyType": null,
"name": "Complete Denture (Maxillary)"
},
{
"frequency": 0,
"mceamount": 300,
"frequencyType": null,
"name": "Crown (full cast noble metal)"
},
{
"frequency": 0,
"mceamount": 38,
"frequencyType": null,
"name": "Extraction (simple)"
},
{
"frequency": 0,
"mceamount": 1009,
"frequencyType": null,
"name": "Implants"
},
{
"frequency": 0,
"mceamount": 320,
"frequencyType": null,
"name": "Root Canal (molar tooth)"
}
]
}
],
"inEffectDate": "2023-09-01",
"inEffectTimestamp": 1693544400,
"outOfEffectDate": "2025-08-31",
"outOfEffectTimestamp": 1756616400,
"marketingInEffectDate": "2023-07-27",
"marketingInEffectTimestamp": 1690434000,
"inEffectDateCalc": "2023-07-27",
"marketingOutOfEffectDate": "2025-07-28",
"marketingOutOfEffectTimestamp": 1753678800,
"startTimestamp": 1727758800,
"isInEffect": true,
"marketingIsInEffect": true,
"planLevelText": "Essential Coverage",
"frequencyText": "per visit & per person",
"frequencyTextAlt": "per visit\/person",
"planCoverage": [
{
"rate": 28.48,
"coverage": "Member",
"areaName": null
},
{
"rate": 56.96,
"coverage": "Member +1",
"areaName": null
},
{
"rate": 85.44,
"coverage": "Member +Family",
"areaName": null
}
],
"planType": "dental",
"types": [
{
"dentalType": null,
"inNetworkPercent": 1,
"outOfNetworkPercent": 1,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Bitewing X-rays"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Routine Cleanings"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Routine Oral Exams"
}
],
"covers": "Covers 100%"
},
{
"dentalType": null,
"inNetworkPercent": 0,
"outOfNetworkPercent": 0,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 0,
"mceamount": 56,
"frequencyType": null,
"name": "Denture Repair (Each tooth)"
},
{
"frequency": 0,
"mceamount": 63,
"frequencyType": null,
"name": "Fillings (2 surface amalgam)"
},
{
"frequency": 0,
"mceamount": 77,
"frequencyType": null,
"name": "Fillings (2 surface resin)"
},
{
"frequency": 0,
"mceamount": 59,
"frequencyType": null,
"name": "Full Mouth X-rays"
}
],
"covers": "Covers 0%"
},
{
"dentalType": null,
"inNetworkPercent": 0,
"outOfNetworkPercent": 0,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
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{
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{
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{
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{
"frequency": 0,
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"frequencyType": null,
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{
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"frequencyType": null,
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}
],
"covers": "Covers 0%"
}
],
"waived": [],
"waivedLabeled": false
},
"Platinum": {
"inEffect": "2023-09-01T00:00:00",
"marketingInEffect": "2023-07-27T00:00:00",
"outOfEffect": "2025-08-31T00:00:00",
"marketingOutOfEffect": "2025-07-28T00:00:00",
"policyNumber": "350997",
"cleaningsPerPeriod": 2,
"cleaningPeriod": "Benefit Period",
"orthoEliminationPeriod": 0,
"examFrequency": 2,
"examPeriod": "Benefit Period",
"orthoCoverageDescription": "None",
"orthoLifetimeMax": 0,
"orthoCoInsurance": 0,
"annualPlanMax": 1250,
"outOfNetAnnualPlanMax": 1250,
"rewardsThreshold": 500,
"rewardsAnnualRollover": 250,
"ppobonus": 100,
"rewardsMaxRollover": 1000,
"waitingPeriod": null,
"notes": null,
"deductible": 50,
"familyDeductibleMax": 0,
"dentalRewards": true,
"planLevel": "Platinum",
"dentalNetworkDescription": "In-Network Benefits \/ 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": 37.32,
"coverage": "Member",
"areaName": null
},
{
"rate": 70.38,
"coverage": "Member +1",
"areaName": null
},
{
"rate": 109.67,
"coverage": "Member +Family",
"areaName": null
}
],
"dentalPlanRateBandState": [],
"dentalPlanType": [
{
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"inNetworkPercent": 1,
"outOfNetworkPercent": 1,
"deductibleWaived": true,
"dentalPlanTypeIncentive": [],
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{
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"mceamount": 0,
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"name": "Bitewing X-rays"
},
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"mceamount": 0,
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"name": "Routine Cleanings"
},
{
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{
"dentalType": null,
"inNetworkPercent": 0.8,
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{
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{
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"frequencyType": null,
"name": "Fillings"
},
{
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"frequencyType": null,
"name": "Panoramic X-Rays"
}
]
},
{
"dentalType": null,
"inNetworkPercent": 0.5,
"outOfNetworkPercent": 0.5,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Crown (full cast noble metal)"
},
{
"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"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Endodontics (root canals)"
},
{
"frequency": 0,
"mceamount": 0,
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"name": "General Anesthesia"
},
{
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"mceamount": 0,
"frequencyType": null,
"name": "Implants"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Periodontics (gum disease)"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
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}
]
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],
"inEffectDate": "2023-09-01",
"inEffectTimestamp": 1693544400,
"outOfEffectDate": "2025-08-31",
"outOfEffectTimestamp": 1756616400,
"marketingInEffectDate": "2023-07-27",
"marketingInEffectTimestamp": 1690434000,
"inEffectDateCalc": "2023-07-27",
"marketingOutOfEffectDate": "2025-07-28",
"marketingOutOfEffectTimestamp": 1753678800,
"startTimestamp": 1727758800,
"isInEffect": true,
"marketingIsInEffect": true,
"planLevelText": "Most Comprehensive",
"frequencyText": "per year & per person",
"frequencyTextAlt": "per year\/person",
"planCoverage": [
{
"rate": 37.32,
"coverage": "Member",
"areaName": null
},
{
"rate": 70.38,
"coverage": "Member +1",
"areaName": null
},
{
"rate": 109.67,
"coverage": "Member +Family",
"areaName": null
}
],
"planType": "dental",
"types": [
{
"dentalType": null,
"inNetworkPercent": 1,
"outOfNetworkPercent": 1,
"deductibleWaived": true,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Bitewing X-rays"
},
{
"frequency": 0,
"mceamount": 0,
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"name": "Routine Cleanings"
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{
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],
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},
{
"dentalType": null,
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"dentalPlanTypeIncentive": [],
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"frequencyType": null,
"name": "Fillings"
},
{
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"mceamount": 0,
"frequencyType": null,
"name": "Panoramic X-Rays"
}
],
"covers": "Covers 80%"
},
{
"dentalType": null,
"inNetworkPercent": 0.5,
"outOfNetworkPercent": 0.5,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Crown (full cast noble metal)"
},
{
"frequency": 0,
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"name": "Crown Repair"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Crowns"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Dentures"
},
{
"frequency": 0,
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"frequencyType": null,
"name": "Endodontics (root canals)"
},
{
"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)"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Extractions"
}
],
"covers": "Covers 50%"
}
],
"waived": [
1
],
"waivedLabeled": [
"Preventative"
]
}
},
"procedures": {
"X-Rays": {
"bitewing)": 1,
"full mouth)": 1,
"panoramic)": 1
},
"Routine Cleanings": {
"": 1
},
"Routine Oral Exams": {
"": 1
},
"Denture Repair": {
"Each tooth)": 1,
"": 1
},
"Fillings": {
"2 surface amalgam)": 1,
"2 surface resin)": 1,
"": 1
},
"Dentures": {
"complete maxillary)": 1,
"all types)": 1
},
"Crown": {
"full cast noble metal)": 1,
"all types)": 1
},
"Extractions": {
"simple)": 1,
"": 1
},
"Implants": {
"": 1
},
"Root Canal": {
"molar tooth)": 1,
"all types)": 1
},
"Crown Repair": {
"": 1
},
"General Anesthesia": {
"": 1
},
"Periodontics": {
"": 1
}
},
"coverage": {
"Member": {
"Gold": 28.48,
"Platinum": 37.32
},
"Member +Associate": [],
"Member +Spouse": [],
"Member +1": {
"Gold": 56.96,
"Platinum": 70.38
},
"Member +Family": {
"Gold": 85.44,
"Platinum": 109.67
},
"Member +Children": []
},
"annualPlanMax": {
"Gold": 1000,
"Platinum": 1250
},
"outOfNetAnnualPlanMax": {
"Gold": 1000,
"Platinum": 1250
},
"rewardsThreshold": {
"Gold": 500,
"Platinum": 500
},
"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": true
},
"services": {
"X-Rays": {
"Gold": 1,
"Platinum": 1
},
"Routine Cleanings": {
"Gold": 1,
"Platinum": 1
},
"Routine Oral Exams": {
"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
},
"X-Rays": {
"Gold": 1,
"Platinum": 1
}
}
},
"type_3": {
"inNetworkPercent": {
"Gold": 0,
"Platinum": 0.5
},
"outOfNetworkPercent": {
"Gold": 0,
"Platinum": 0.5
},
"deductibleWaived": {
"Gold": false,
"Platinum": false
},
"services": {
"Dentures": {
"Gold": 1,
"Platinum": 1
},
"Crown": {
"Gold": 1,
"Platinum": 1
},
"Extractions": {
"Gold": 1,
"Platinum": 1
},
"Implants": {
"Gold": 1,
"Platinum": 1
},
"Root Canal": {
"Gold": 1,
"Platinum": 1
},
"Crown Repair": {
"Platinum": 1
},
"General Anesthesia": {
"Platinum": 1
},
"Periodontics": {
"Platinum": 1
}
}
}
};