- 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
$18.88/month
$34.72/month
Member +1
$41.20/month
$74.08/month
Member +Family
$68.20/month
$120.19/month
Deductible
$25.00
per year/person
(waived for Preventative services)
$25.00
per year/person
(waived for Preventative services)
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
Annual Benefit Threshold
$500.00
$750.00
Annual Maximum Benefit
$1,000.00
$2,000.00
Dental Rewards Carry Over
$250.00
$400.00
Year 2 Maximum Benefit
$1,250.00
$2,400.00
Total Maximum Benefit
$2,000.00
$3,200.00
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
Covers 70%
Covers 85%
Fillings
Covers 70%
Covers 85%
General Anesthesia
Covers 70%
Covers 85%
Major
Crown (all types)
Covers 50%
Covers 60%
Dentures (all types)
Covers 50%
Covers 60%
Root Canal (all types)
Covers 50%
Covers 60%
Extractions (simple and complex)
Covers 50%
Covers 60%
Periodontics
Covers 50%
Covers 60%
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 February, 2022 to 31 January, 2024.
{
"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 70%",
"Platinum": "Covers 85%"
},
"Fillings": {
"Gold": "Covers 70%",
"Platinum": "Covers 85%"
},
"General Anesthesia": {
"Gold": "Covers 70%",
"Platinum": "Covers 85%"
},
"Crown (all types)": {
"Gold": "Covers 50%",
"Platinum": "Covers 60%"
},
"Dentures (all types)": {
"Gold": "Covers 50%",
"Platinum": "Covers 60%"
},
"Root Canal (all types)": {
"Gold": "Covers 50%",
"Platinum": "Covers 60%"
},
"Extractions (simple and complex)": {
"Gold": "Covers 50%",
"Platinum": "Covers 60%"
},
"Periodontics": {
"Gold": "Covers 50%",
"Platinum": "Covers 60%"
}
},
"plans": {
"Gold": {
"inEffect": "2022-02-01T00:00:00",
"marketingInEffect": "2022-01-13T00:00:00",
"outOfEffect": "2024-01-31T00:00:00",
"marketingOutOfEffect": "2024-01-31T00:00:00",
"policyNumber": "351040",
"cleaningsPerPeriod": 2,
"cleaningPeriod": "Benefit Period",
"orthoEliminationPeriod": 0,
"examFrequency": 2,
"examPeriod": "Benefit Period",
"orthoCoverageDescription": null,
"orthoLifetimeMax": 0,
"orthoCoInsurance": 0,
"annualPlanMax": 1000,
"outOfNetAnnualPlanMax": 1000,
"rewardsThreshold": 500,
"rewardsAnnualRollover": 250,
"ppobonus": 100,
"rewardsMaxRollover": 1000,
"waitingPeriod": "0",
"notes": null,
"deductible": 25,
"familyDeductibleMax": 75,
"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": 18.88,
"coverage": "Member"
},
{
"rate": 41.2,
"coverage": "Member +1"
},
{
"rate": 68.2,
"coverage": "Member +Family"
}
],
"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": 0.7,
"outOfNetworkPercent": 0.7,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Denture Repair"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": "Annual",
"name": "Fillings"
},
{
"frequency": 0,
"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": "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": "Extractions (simple and complex) "
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Periodontics (gum disease)"
}
]
}
],
"inEffectDate": "2022-02-01",
"inEffectTimestamp": 1643673600,
"outOfEffectDate": "2024-01-31",
"outOfEffectTimestamp": 1706659200,
"marketingInEffectDate": "2022-01-13",
"marketingInEffectTimestamp": 1642032000,
"inEffectDateCalc": "2022-01-13",
"marketingOutOfEffectDate": "2024-01-31",
"marketingOutOfEffectTimestamp": 1706659200,
"planLevelText": "Essential Coverage",
"frequencyText": "per year & per person",
"frequencyTextAlt": "per year\/person",
"planCoverage": [
{
"rate": 18.88,
"coverage": "Member"
},
{
"rate": 41.2,
"coverage": "Member +1"
},
{
"rate": 68.2,
"coverage": "Member +Family"
}
],
"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": 0.7,
"outOfNetworkPercent": 0.7,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Denture Repair"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": "Annual",
"name": "Fillings"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "General Anesthesia"
}
],
"covers": "Covers 70%"
},
{
"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": "Extractions (simple and complex) "
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Periodontics (gum disease)"
}
],
"covers": "Covers 50%"
}
],
"waived": [
1
],
"waivedLabeled": [
"Preventative"
]
},
"Platinum": {
"inEffect": "2022-02-01T00:00:00",
"marketingInEffect": "2022-01-13T00:00:00",
"outOfEffect": "2024-01-31T00:00:00",
"marketingOutOfEffect": "2024-01-31T00:00:00",
"policyNumber": "351040",
"cleaningsPerPeriod": 2,
"cleaningPeriod": "Benefit Period",
"orthoEliminationPeriod": 0,
"examFrequency": 2,
"examPeriod": "Benefit Period",
"orthoCoverageDescription": null,
"orthoLifetimeMax": 0,
"orthoCoInsurance": 0,
"annualPlanMax": 2000,
"outOfNetAnnualPlanMax": 2000,
"rewardsThreshold": 750,
"rewardsAnnualRollover": 400,
"ppobonus": 200,
"rewardsMaxRollover": 1200,
"waitingPeriod": "0",
"notes": null,
"deductible": 25,
"familyDeductibleMax": 75,
"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": 34.72,
"coverage": "Member"
},
{
"rate": 74.08,
"coverage": "Member +1"
},
{
"rate": 120.19,
"coverage": "Member +Family"
}
],
"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": 0.85,
"outOfNetworkPercent": 0.85,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Denture Repair"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Fillings"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "General Anesthesia"
}
]
},
{
"dentalType": null,
"inNetworkPercent": 0.6,
"outOfNetworkPercent": 0.6,
"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": "Extractions (simple and complex) "
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Periodontics (gum disease)"
}
]
}
],
"inEffectDate": "2022-02-01",
"inEffectTimestamp": 1643673600,
"outOfEffectDate": "2024-01-31",
"outOfEffectTimestamp": 1706659200,
"marketingInEffectDate": "2022-01-13",
"marketingInEffectTimestamp": 1642032000,
"inEffectDateCalc": "2022-01-13",
"marketingOutOfEffectDate": "2024-01-31",
"marketingOutOfEffectTimestamp": 1706659200,
"planLevelText": "Most Comprehensive",
"frequencyText": "per year & per person",
"frequencyTextAlt": "per year\/person",
"planCoverage": [
{
"rate": 34.72,
"coverage": "Member"
},
{
"rate": 74.08,
"coverage": "Member +1"
},
{
"rate": 120.19,
"coverage": "Member +Family"
}
],
"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": 0.85,
"outOfNetworkPercent": 0.85,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Denture Repair"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Fillings"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "General Anesthesia"
}
],
"covers": "Covers 85%"
},
{
"dentalType": null,
"inNetworkPercent": 0.6,
"outOfNetworkPercent": 0.6,
"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": "Extractions (simple and complex) "
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Periodontics (gum disease)"
}
],
"covers": "Covers 60%"
}
],
"waived": [
1
],
"waivedLabeled": [
"Preventative"
]
}
},
"procedures": {
"Routine Cleanings": {
"": 1
},
"Routine Oral Exams": {
"": 1
},
"X-Rays": {
"all types)": 1
},
"Denture Repair": {
"": 1
},
"Fillings": {
"": 1
},
"General Anesthesia": {
"": 1
},
"Crown": {
"all types)": 1
},
"Dentures": {
"all types)": 1
},
"Root Canal": {
"all types)": 1
},
"Extractions": {
"simple and complex)": 1
},
"Periodontics": {
"": 1
}
},
"coverage": {
"Member": {
"Gold": 18.88,
"Platinum": 34.72
},
"Member +Associate": [],
"Member +Spouse": [],
"Member +1": {
"Gold": 41.2,
"Platinum": 74.08
},
"Member +Family": {
"Gold": 68.2,
"Platinum": 120.19
},
"Member +Children": []
},
"annualPlanMax": {
"Gold": 1000,
"Platinum": 2000
},
"outOfNetAnnualPlanMax": {
"Gold": 1000,
"Platinum": 2000
},
"rewardsThreshold": {
"Gold": 500,
"Platinum": 750
},
"rewardsAnnualRollover": {
"Gold": 250,
"Platinum": 400
},
"rewardsMaxRollover": {
"Gold": 1000,
"Platinum": 1200
},
"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": 0.7,
"Platinum": 0.85
},
"outOfNetworkPercent": {
"Gold": 0.7,
"Platinum": 0.85
},
"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": 0.5,
"Platinum": 0.6
},
"outOfNetworkPercent": {
"Gold": 0.5,
"Platinum": 0.6
},
"deductibleWaived": {
"Gold": false,
"Platinum": false
},
"services": {
"Crown (all types)": {
"Gold": 1,
"Platinum": 1
},
"Dentures (all types)": {
"Gold": 1,
"Platinum": 1
},
"Root Canal (all types)": {
"Gold": 1,
"Platinum": 1
},
"Extractions (simple and complex)": {
"Gold": 1,
"Platinum": 1
},
"Periodontics": {
"Gold": 1,
"Platinum": 1
}
}
}
};