- 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
$34.87/month
$55.94/month
Member +1
$69.74/month
$114.91/month
Member +Family
$88.33/month
$138.24/month
Deductible
$75.00 per year/person
$75.00
per year/person
(waived for Preventative services)
In Network
$1,500.00 per year/person
$1,500.00 per year/person
Out of Network
$1,500.00 per year/person
$1,500.00 per year/person
Annual Benefit Threshold
$500.00
$500.00
Annual Maximum Benefit
$1,500.00
$1,500.00
Dental Rewards Carry Over
$250.00
$250.00
Year 2 Maximum Benefit
$1,750.00
$1,750.00
Total Maximum Benefit
$2,500.00
$2,500.00
Preventative
X-Rays
M.C.E. $49 (bitewing 4 image)
M.C.E. $91 (panoramic)
Covers 80% (all types)
Routine Cleanings
M.C.E. $75
Covers 100%
Routine Oral Exams
M.C.E. $35
Covers 100%
Basic
Denture Repair
M.C.E. $68 (Each tooth)
Covers 80%
Fillings
M.C.E. $82 (2 surface amalgam)
M.C.E. $100 (2 surface resin)
Covers 80%
Root Canal
M.C.E. $472 (bicuspid tooth)
Covers 50% (all types)
Crown Repair
Not Covered
Covers 80%
X-Rays
M.C.E. $49 (bitewing 4 image)
M.C.E. $91 (panoramic)
Covers 80% (all types)
Major
Crown
M.C.E. $350 (full cast noble metal)
Covers 50% (all types)
Dentures
M.C.E. $431 (maxillary)
Covers 50% (all types)
Extractions
M.C.E. $73 (simple)
Covers 50%
Periodontics
M.C.E. $397 (osseous surgery)
Covers 50%
Root Canal
M.C.E. $472 (bicuspid tooth)
Covers 50% (all types)
General Anesthesia
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 July, 2023 to 30 June, 2024.
{
"services": {
"X-Rays": {
"Gold": "M.C.E. $49 (bitewing 4 image)<\/span>
M.C.E. $91 (panoramic)<\/span>",
"Platinum": "Covers 80% (all types)<\/span>"
},
"Routine Cleanings": {
"Gold": "M.C.E. $75",
"Platinum": "Covers 100%"
},
"Routine Oral Exams": {
"Gold": "M.C.E. $35",
"Platinum": "Covers 100%"
},
"Denture Repair": {
"Gold": "M.C.E. $68 (Each tooth)<\/span>",
"Platinum": "Covers 80%"
},
"Fillings": {
"Gold": "M.C.E. $82 (2 surface amalgam)<\/span>
M.C.E. $100 (2 surface resin)<\/span>",
"Platinum": "Covers 80%"
},
"Root Canal": {
"Gold": "M.C.E. $472 (bicuspid tooth)<\/span>",
"Platinum": "Covers 50% (all types)<\/span>"
},
"Crown Repair": {
"Platinum": "Covers 80%"
},
"Crown": {
"Gold": "M.C.E. $350 (full cast noble metal)<\/span>",
"Platinum": "Covers 50% (all types)<\/span>"
},
"Dentures": {
"Gold": "M.C.E. $431 (maxillary)<\/span>",
"Platinum": "Covers 50% (all types)<\/span>"
},
"Extractions": {
"Gold": "M.C.E. $73 (simple)<\/span>",
"Platinum": "Covers 50%"
},
"Periodontics": {
"Gold": "M.C.E. $397 (osseous surgery)<\/span>",
"Platinum": "Covers 50%"
},
"General Anesthesia": {
"Platinum": "Covers 50%"
}
},
"plans": {
"Gold": {
"inEffect": "2023-07-01T00:00:00",
"marketingInEffect": "2023-06-01T00:00:00",
"outOfEffect": "2024-06-30T00:00:00",
"marketingOutOfEffect": "2024-05-28T00:00:00",
"policyNumber": "350896",
"cleaningsPerPeriod": 1,
"cleaningPeriod": "6 months",
"orthoEliminationPeriod": 0,
"examFrequency": 1,
"examPeriod": "6 months",
"orthoCoverageDescription": "None",
"orthoLifetimeMax": 0,
"orthoCoInsurance": 0,
"annualPlanMax": 1500,
"outOfNetAnnualPlanMax": 1500,
"rewardsThreshold": 500,
"rewardsAnnualRollover": 250,
"ppobonus": 0,
"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": 34.87,
"coverage": "Member"
},
{
"rate": 69.74,
"coverage": "Member +1"
},
{
"rate": 88.33,
"coverage": "Member +Family"
}
],
"dentalPlanType": [
{
"dentalType": null,
"inNetworkPercent": 0,
"outOfNetworkPercent": 0,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 0,
"mceamount": 49,
"frequencyType": null,
"name": "Bitewing X-rays (4 image)"
},
{
"frequency": 0,
"mceamount": 91,
"frequencyType": null,
"name": "Panoramic X-Rays"
},
{
"frequency": 0,
"mceamount": 75,
"frequencyType": null,
"name": "Routine Cleanings"
},
{
"frequency": 0,
"mceamount": 35,
"frequencyType": null,
"name": "Routine Oral Exams"
}
]
},
{
"dentalType": null,
"inNetworkPercent": 0,
"outOfNetworkPercent": 0,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 0,
"mceamount": 68,
"frequencyType": null,
"name": "Denture Repair (Each tooth)"
},
{
"frequency": 0,
"mceamount": 82,
"frequencyType": null,
"name": "Fillings (2 surface amalgam)"
},
{
"frequency": 0,
"mceamount": 100,
"frequencyType": null,
"name": "Fillings (2 surface resin)"
},
{
"frequency": 0,
"mceamount": 472,
"frequencyType": null,
"name": "Root Canal (bicuspid tooth)"
}
]
},
{
"dentalType": null,
"inNetworkPercent": 0,
"outOfNetworkPercent": 0,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 0,
"mceamount": 350,
"frequencyType": null,
"name": "Crown (full cast noble metal)"
},
{
"frequency": 0,
"mceamount": 431,
"frequencyType": null,
"name": "Denture (maxillary)"
},
{
"frequency": 0,
"mceamount": 73,
"frequencyType": null,
"name": "Extraction (simple)"
},
{
"frequency": 0,
"mceamount": 397,
"frequencyType": null,
"name": "Osseous Surgery (Periodontics) "
}
]
}
],
"inEffectDate": "2023-07-01",
"inEffectTimestamp": 1688169600,
"outOfEffectDate": "2024-06-30",
"outOfEffectTimestamp": 1719705600,
"marketingInEffectDate": "2023-06-01",
"marketingInEffectTimestamp": 1685577600,
"inEffectDateCalc": "2023-06-01",
"marketingOutOfEffectDate": "2024-05-28",
"marketingOutOfEffectTimestamp": 1716854400,
"startTimestamp": 1704067200,
"isInEffect": true,
"marketingIsInEffect": true,
"planLevelText": "Essential Coverage",
"frequencyText": "per year & per person",
"frequencyTextAlt": "per year\/person",
"planCoverage": [
{
"rate": 34.87,
"coverage": "Member"
},
{
"rate": 69.74,
"coverage": "Member +1"
},
{
"rate": 88.33,
"coverage": "Member +Family"
}
],
"planType": "dental",
"types": [
{
"dentalType": null,
"inNetworkPercent": 0,
"outOfNetworkPercent": 0,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 0,
"mceamount": 49,
"frequencyType": null,
"name": "Bitewing X-rays (4 image)"
},
{
"frequency": 0,
"mceamount": 91,
"frequencyType": null,
"name": "Panoramic X-Rays"
},
{
"frequency": 0,
"mceamount": 75,
"frequencyType": null,
"name": "Routine Cleanings"
},
{
"frequency": 0,
"mceamount": 35,
"frequencyType": null,
"name": "Routine Oral Exams"
}
],
"covers": "Covers 0%"
},
{
"dentalType": null,
"inNetworkPercent": 0,
"outOfNetworkPercent": 0,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 0,
"mceamount": 68,
"frequencyType": null,
"name": "Denture Repair (Each tooth)"
},
{
"frequency": 0,
"mceamount": 82,
"frequencyType": null,
"name": "Fillings (2 surface amalgam)"
},
{
"frequency": 0,
"mceamount": 100,
"frequencyType": null,
"name": "Fillings (2 surface resin)"
},
{
"frequency": 0,
"mceamount": 472,
"frequencyType": null,
"name": "Root Canal (bicuspid tooth)"
}
],
"covers": "Covers 0%"
},
{
"dentalType": null,
"inNetworkPercent": 0,
"outOfNetworkPercent": 0,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 0,
"mceamount": 350,
"frequencyType": null,
"name": "Crown (full cast noble metal)"
},
{
"frequency": 0,
"mceamount": 431,
"frequencyType": null,
"name": "Denture (maxillary)"
},
{
"frequency": 0,
"mceamount": 73,
"frequencyType": null,
"name": "Extraction (simple)"
},
{
"frequency": 0,
"mceamount": 397,
"frequencyType": null,
"name": "Osseous Surgery (Periodontics) "
}
],
"covers": "Covers 0%"
}
],
"waived": [],
"waivedLabeled": false
},
"Platinum": {
"inEffect": "2023-07-01T00:00:00",
"marketingInEffect": "2023-06-01T00:00:00",
"outOfEffect": "2024-06-30T00:00:00",
"marketingOutOfEffect": "2024-05-28T00:00:00",
"policyNumber": "350896",
"cleaningsPerPeriod": 2,
"cleaningPeriod": "Benefit Period",
"orthoEliminationPeriod": 0,
"examFrequency": 2,
"examPeriod": "Benefit Period",
"orthoCoverageDescription": "None",
"orthoLifetimeMax": 0,
"orthoCoInsurance": 0,
"annualPlanMax": 1500,
"outOfNetAnnualPlanMax": 1500,
"rewardsThreshold": 500,
"rewardsAnnualRollover": 250,
"ppobonus": 150,
"rewardsMaxRollover": 1000,
"waitingPeriod": null,
"notes": null,
"deductible": 75,
"familyDeductibleMax": 225,
"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": 55.94,
"coverage": "Member"
},
{
"rate": 114.91,
"coverage": "Member +1"
},
{
"rate": 138.24,
"coverage": "Member +Family"
}
],
"dentalPlanType": [
{
"dentalType": null,
"inNetworkPercent": 1,
"outOfNetworkPercent": 1,
"deductibleWaived": true,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 2,
"mceamount": 0,
"frequencyType": "Plan Period",
"name": "Routine Cleanings"
},
{
"frequency": 2,
"mceamount": 0,
"frequencyType": "Plan Period",
"name": "Routine Oral Exams"
}
]
},
{
"dentalType": null,
"inNetworkPercent": 0.8,
"outOfNetworkPercent": 0.8,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"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": "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": "General Anesthesia"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Periodontics (gum disease)"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Extractions"
}
]
}
],
"inEffectDate": "2023-07-01",
"inEffectTimestamp": 1688169600,
"outOfEffectDate": "2024-06-30",
"outOfEffectTimestamp": 1719705600,
"marketingInEffectDate": "2023-06-01",
"marketingInEffectTimestamp": 1685577600,
"inEffectDateCalc": "2023-06-01",
"marketingOutOfEffectDate": "2024-05-28",
"marketingOutOfEffectTimestamp": 1716854400,
"startTimestamp": 1704067200,
"isInEffect": true,
"marketingIsInEffect": true,
"planLevelText": "Most Comprehensive",
"frequencyText": "per year & per person",
"frequencyTextAlt": "per year\/person",
"planCoverage": [
{
"rate": 55.94,
"coverage": "Member"
},
{
"rate": 114.91,
"coverage": "Member +1"
},
{
"rate": 138.24,
"coverage": "Member +Family"
}
],
"planType": "dental",
"types": [
{
"dentalType": null,
"inNetworkPercent": 1,
"outOfNetworkPercent": 1,
"deductibleWaived": true,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 2,
"mceamount": 0,
"frequencyType": "Plan Period",
"name": "Routine Cleanings"
},
{
"frequency": 2,
"mceamount": 0,
"frequencyType": "Plan Period",
"name": "Routine Oral Exams"
}
],
"covers": "Covers 100%"
},
{
"dentalType": null,
"inNetworkPercent": 0.8,
"outOfNetworkPercent": 0.8,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"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": "Fillings"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "X-rays"
}
],
"covers": "Covers 80%"
},
{
"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": "General Anesthesia"
},
{
"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 4 image)": 1,
"panoramic)": 1,
"all types)": 1
},
"Routine Cleanings": {
"": 1
},
"Routine Oral Exams": {
"": 1
},
"Denture Repair": {
"Each tooth)": 1,
"": 1
},
"Fillings": {
"2 surface amalgam)": 1,
"2 surface resin)": 1,
"": 1
},
"Root Canal": {
"bicuspid tooth)": 1,
"all types)": 1
},
"Crown": {
"full cast noble metal)": 1,
"all types)": 1
},
"Dentures": {
"maxillary)": 1,
"all types)": 1
},
"Extractions": {
"simple)": 1,
"": 1
},
"Periodontics": {
"osseous surgery)": 1,
"": 1
},
"Crown Repair": {
"": 1
},
"General Anesthesia": {
"": 1
}
},
"coverage": {
"Member": {
"Gold": 34.87,
"Platinum": 55.94
},
"Member +Associate": [],
"Member +Spouse": [],
"Member +1": {
"Gold": 69.74,
"Platinum": 114.91
},
"Member +Family": {
"Gold": 88.33,
"Platinum": 138.24
},
"Member +Children": []
},
"annualPlanMax": {
"Gold": 1500,
"Platinum": 1500
},
"outOfNetAnnualPlanMax": {
"Gold": 1500,
"Platinum": 1500
},
"rewardsThreshold": {
"Gold": 500,
"Platinum": 500
},
"rewardsAnnualRollover": {
"Gold": 250,
"Platinum": 250
},
"rewardsMaxRollover": {
"Gold": 1000,
"Platinum": 1000
},
"type_1": {
"inNetworkPercent": {
"Gold": 0,
"Platinum": 1
},
"outOfNetworkPercent": {
"Gold": 0,
"Platinum": 1
},
"deductibleWaived": {
"Gold": false,
"Platinum": true
},
"services": {
"X-Rays": {
"Gold": 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
},
"Root Canal": {
"Gold": 1
},
"Crown Repair": {
"Platinum": 1
},
"X-Rays": {
"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
},
"Periodontics": {
"Gold": 1,
"Platinum": 1
},
"Root Canal": {
"Platinum": 1
},
"General Anesthesia": {
"Platinum": 1
}
}
}
};