- 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
- Gold plan preventive services don’t count against your annual maximum
Member
$36.12/month
$47.76/month
Member +Associate
$72.24/month
$95.52/month
Member +Spouse
$86.56/month
$107.48/month
Member +Family
$119.96/month
$133.68/month
Member +Children
$70.56/month
$74.40/month
Deductible
$25.00
per year/person
(waived for Preventative services)
$0.00 per year/person
In Network
$1,000.00 per year/person
$2,000.00 per year/person
Out of Network
$1,000.00 per year/person
$2,000.00 per year/person
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
Covers 50%
Covers 60%
Root Canal (all types)
Covers 50%
Covers 60%
Fillings
Covers 50%
Covers 60%
General Anesthesia
Covers 50%
Covers 60%
Oral Surgery
Covers 50%
Covers 60%
Periodontal Maintenance
Covers 50%
Covers 60%
Periodontics
Covers 50%
Covers 60%
Extractions
Covers 50%
Covers 60%
Major
Crown (all types)
Covers 50%
Covers 50%
Dentures (all types)
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 September, 2022 to 31 December, 2023.
{
"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": "Covers 50%",
"Platinum": "Covers 60%"
},
"Root Canal (all types)": {
"Gold": "Covers 50%",
"Platinum": "Covers 60%"
},
"Fillings": {
"Gold": "Covers 50%",
"Platinum": "Covers 60%"
},
"General Anesthesia": {
"Gold": "Covers 50%",
"Platinum": "Covers 60%"
},
"Oral Surgery": {
"Gold": "Covers 50%",
"Platinum": "Covers 60%"
},
"Periodontal Maintenance": {
"Gold": "Covers 50%",
"Platinum": "Covers 60%"
},
"Periodontics": {
"Gold": "Covers 50%",
"Platinum": "Covers 60%"
},
"Extractions": {
"Gold": "Covers 50%",
"Platinum": "Covers 60%"
},
"Crown (all types)": {
"Gold": "Covers 50%",
"Platinum": "Covers 50%"
},
"Dentures (all types)": {
"Gold": "Covers 50%",
"Platinum": "Covers 50%"
},
"Implants": {
"Platinum": "Covers 50%"
}
},
"plans": {
"Gold": {
"inEffect": "2022-09-01T00:00:00",
"marketingInEffect": "2022-08-15T00:00:00",
"outOfEffect": "2023-12-31T00:00:00",
"marketingOutOfEffect": "2023-12-15T00:00:00",
"policyNumber": "160-758158",
"cleaningsPerPeriod": 2,
"cleaningPeriod": "Calendar Year",
"orthoEliminationPeriod": 0,
"examFrequency": 2,
"examPeriod": "Calendar Year",
"orthoCoverageDescription": null,
"orthoLifetimeMax": 0,
"orthoCoInsurance": 0,
"annualPlanMax": 1000,
"outOfNetAnnualPlanMax": 1000,
"rewardsThreshold": 0,
"rewardsAnnualRollover": 0,
"ppobonus": 0,
"rewardsMaxRollover": 0,
"waitingPeriod": "0",
"notes": null,
"deductible": 25,
"familyDeductibleMax": 0,
"dentalRewards": false,
"planLevel": "Gold",
"dentalNetworkDescription": "Non-PPO \/ Out-Of-Network Benefits",
"frequencyType": "Annual",
"carrier": {
"fullName": "Standard Dental",
"shortName": "Standard",
"logo": "\/img\/TheStandard.svg",
"creativeApproval": "2022-08-16T21:46:47.687",
"legalName": "Standard Insurance Company (The Standard)",
"website": "https:\/\/www.standard.com\/individual\/products-services\/workplace-benefits\/insurance\/dental",
"phone": "1-800-547-9515",
"instructions": "Enter zip, select city & state, and Classic PPO network."
},
"dentalPlanCoverage": [
{
"rate": 36.12,
"coverage": "Member"
},
{
"rate": 119.96,
"coverage": "Member +Family"
},
{
"rate": 72.24,
"coverage": "Member +Associate"
},
{
"rate": 86.56,
"coverage": "Member +Spouse"
},
{
"rate": 70.56,
"coverage": "Member +Children"
}
],
"dentalPlanType": [
{
"dentalType": null,
"inNetworkPercent": 1,
"outOfNetworkPercent": 1,
"deductibleWaived": true,
"dentalPlanTypeIncentive": [],
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{
"frequency": 2,
"mceamount": 0,
"frequencyType": "Annual",
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},
{
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"frequencyType": "Annual",
"name": "Routine Oral Exams"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "X-rays"
}
]
},
{
"dentalType": null,
"inNetworkPercent": 0.5,
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"dentalPlanTypeIncentive": [],
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{
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"mceamount": 0,
"frequencyType": null,
"name": "Denture Repair"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Endodontics (root canals)"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Fillings"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "General Anesthesia"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Oral Surgery"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Periodontal Maintenance"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Periodontics (gum disease)"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Extractions"
}
]
},
{
"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"
}
]
}
],
"inEffectDate": "2022-09-01",
"inEffectTimestamp": 1661990400,
"outOfEffectDate": "2023-12-31",
"outOfEffectTimestamp": 1703980800,
"marketingInEffectDate": "2022-08-15",
"marketingInEffectTimestamp": 1660521600,
"inEffectDateCalc": "2022-08-15",
"marketingOutOfEffectDate": "2023-12-15",
"marketingOutOfEffectTimestamp": 1702598400,
"planLevelText": "Essential Coverage",
"frequencyText": "per year & per person",
"frequencyTextAlt": "per year\/person",
"planCoverage": [
{
"rate": 36.12,
"coverage": "Member"
},
{
"rate": 119.96,
"coverage": "Member +Family"
},
{
"rate": 72.24,
"coverage": "Member +Associate"
},
{
"rate": 86.56,
"coverage": "Member +Spouse"
},
{
"rate": 70.56,
"coverage": "Member +Children"
}
],
"planType": "dental",
"types": [
{
"dentalType": null,
"inNetworkPercent": 1,
"outOfNetworkPercent": 1,
"deductibleWaived": true,
"dentalPlanTypeIncentive": [],
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{
"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": 0.5,
"outOfNetworkPercent": 0.5,
"deductibleWaived": false,
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{
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"name": "Endodontics (root canals)"
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{
"frequency": 0,
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"frequencyType": null,
"name": "Fillings"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "General Anesthesia"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Oral Surgery"
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{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Periodontal Maintenance"
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{
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{
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],
"covers": "Covers 50%"
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{
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{
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"name": "Dentures"
}
],
"covers": "Covers 50%"
}
],
"waived": [
1
],
"waivedLabeled": [
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]
},
"Platinum": {
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"marketingInEffect": "2022-08-15T00:00:00",
"outOfEffect": "2023-12-31T00:00:00",
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"frequencyType": "Annual",
"carrier": {
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"shortName": "Standard",
"logo": "\/img\/TheStandard.svg",
"creativeApproval": "2022-08-16T21:46:47.687",
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},
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"rate": 47.76,
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{
"rate": 133.68,
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},
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},
{
"rate": 107.48,
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},
{
"rate": 74.4,
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],
"dentalPlanType": [
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"frequencyType": "Annual",
"name": "Routine Cleanings"
},
{
"frequency": 2,
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"frequencyType": "Annual",
"name": "Routine Oral Exams"
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{
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"name": "X-rays"
}
]
},
{
"dentalType": null,
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"dentalPlanTypeIncentive": [],
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{
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{
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"name": "Endodontics (root canals)"
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{
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"mceamount": 0,
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"name": "Fillings"
},
{
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"name": "General Anesthesia"
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{
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"mceamount": 0,
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"name": "Oral Surgery"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Periodontal Maintenance"
},
{
"frequency": 0,
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"name": "Periodontics (gum disease)"
},
{
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"name": "Extractions"
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]
},
{
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"inNetworkPercent": 0.5,
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"dentalPlanTypeIncentive": [],
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{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Crowns"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Dentures"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Implants"
}
]
}
],
"inEffectDate": "2022-09-01",
"inEffectTimestamp": 1661990400,
"outOfEffectDate": "2023-12-31",
"outOfEffectTimestamp": 1703980800,
"marketingInEffectDate": "2022-08-15",
"marketingInEffectTimestamp": 1660521600,
"inEffectDateCalc": "2022-08-15",
"marketingOutOfEffectDate": "2023-12-15",
"marketingOutOfEffectTimestamp": 1702598400,
"planLevelText": "Most Comprehensive",
"frequencyText": "per year & per person",
"frequencyTextAlt": "per year\/person",
"planCoverage": [
{
"rate": 47.76,
"coverage": "Member"
},
{
"rate": 133.68,
"coverage": "Member +Family"
},
{
"rate": 95.52,
"coverage": "Member +Associate"
},
{
"rate": 107.48,
"coverage": "Member +Spouse"
},
{
"rate": 74.4,
"coverage": "Member +Children"
}
],
"planType": "dental",
"types": [
{
"dentalType": null,
"inNetworkPercent": 1,
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"deductibleWaived": false,
"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,
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"name": "X-rays"
}
],
"covers": "Covers 100%"
},
{
"dentalType": null,
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"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
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{
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"name": "Denture Repair"
},
{
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"name": "Endodontics (root canals)"
},
{
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"name": "Fillings"
},
{
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"name": "General Anesthesia"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Oral Surgery"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Periodontal Maintenance"
},
{
"frequency": 0,
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"name": "Periodontics (gum disease)"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Extractions"
}
],
"covers": "Covers 60%"
},
{
"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": "Implants"
}
],
"covers": "Covers 50%"
}
],
"waived": [],
"waivedLabeled": false
}
},
"procedures": {
"Routine Cleanings": {
"": 1
},
"Routine Oral Exams": {
"": 1
},
"X-Rays": {
"all types)": 1
},
"Denture Repair": {
"": 1
},
"Root Canal": {
"all types)": 1
},
"Fillings": {
"": 1
},
"General Anesthesia": {
"": 1
},
"Oral Surgery": {
"": 1
},
"Periodontal Maintenance": {
"": 1
},
"Periodontics": {
"": 1
},
"Extractions": {
"": 1
},
"Crown": {
"all types)": 1
},
"Dentures": {
"all types)": 1
},
"Implants": {
"": 1
}
},
"coverage": {
"Member": {
"Gold": 36.12,
"Platinum": 47.76
},
"Member +Associate": {
"Gold": 72.24,
"Platinum": 95.52
},
"Member +Spouse": {
"Gold": 86.56,
"Platinum": 107.48
},
"Member +1": [],
"Member +Family": {
"Gold": 119.96,
"Platinum": 133.68
},
"Member +Children": {
"Gold": 70.56,
"Platinum": 74.4
}
},
"annualPlanMax": {
"Gold": 1000,
"Platinum": 2000
},
"outOfNetAnnualPlanMax": {
"Gold": 1000,
"Platinum": 2000
},
"rewardsThreshold": {
"Gold": 0,
"Platinum": 0
},
"rewardsAnnualRollover": {
"Gold": 0,
"Platinum": 0
},
"rewardsMaxRollover": {
"Gold": 0,
"Platinum": 0
},
"type_1": {
"inNetworkPercent": {
"Gold": 1,
"Platinum": 1
},
"outOfNetworkPercent": {
"Gold": 1,
"Platinum": 1
},
"deductibleWaived": {
"Gold": true,
"Platinum": false
},
"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": 0.5,
"Platinum": 0.6
},
"outOfNetworkPercent": {
"Gold": 0.5,
"Platinum": 0.6
},
"deductibleWaived": {
"Gold": false,
"Platinum": false
},
"services": {
"Denture Repair": {
"Gold": 1,
"Platinum": 1
},
"Root Canal (all types)": {
"Gold": 1,
"Platinum": 1
},
"Fillings": {
"Gold": 1,
"Platinum": 1
},
"General Anesthesia": {
"Gold": 1,
"Platinum": 1
},
"Oral Surgery": {
"Gold": 1,
"Platinum": 1
},
"Periodontal Maintenance": {
"Gold": 1,
"Platinum": 1
},
"Periodontics": {
"Gold": 1,
"Platinum": 1
},
"Extractions": {
"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": {
"Crown (all types)": {
"Gold": 1,
"Platinum": 1
},
"Dentures (all types)": {
"Gold": 1,
"Platinum": 1
},
"Implants": {
"Platinum": 1
}
}
}
};