- 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
$37.43/month
$59.18/month
Member +1
$84.58/month
$126.77/month
Member +Family
$104.25/month
$129.86/month
Deductible
$75.00 per year/person
$75.00 per year/person
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
$750.00
$750.00
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
Covers 100% I.N. (80% O.O.N.) (bitewing)
Covers 60% I.N. (50% O.O.N.) (panoramic)
Covers 80% (all types)
Routine Cleanings
Covers 100% I.N. (80% O.O.N.)
Covers 100%
Routine Oral Exams
Covers 100% I.N. (80% O.O.N.)
Covers 100%
Basic
Fillings
Covers 60% I.N. (50% O.O.N.)
Covers 80%
X-Rays
Covers 100% I.N. (80% O.O.N.) (bitewing)
Covers 60% I.N. (50% O.O.N.) (panoramic)
Covers 80% (all types)
Crown Repair
Covers 35% I.N. (25% O.O.N.)
Covers 80%
Denture Repair
Not Covered
Covers 80%
Major
Crown Repair
Covers 35% I.N. (25% O.O.N.)
Covers 80%
Crown (all types)
Covers 35% I.N. (25% O.O.N.)
Covers 50%
Dentures (all types)
Covers 35% I.N. (25% O.O.N.)
Covers 50%
Root Canal (all types)
Covers 35% I.N. (25% O.O.N.)
Covers 50%
General Anesthesia
Covers 35% I.N. (25% O.O.N.)
Covers 50%
Periodontics
Covers 35% I.N. (25% O.O.N.)
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, 2023 to 31 December, 2024.
{
"services": {
"X-Rays": {
"Gold": "Covers 100% I.N.<\/span> (80% O.O.N.)<\/span> (bitewing)<\/span>
Covers 60% I.N.<\/span> (50% O.O.N.)<\/span> (panoramic)<\/span>",
"Platinum": "Covers 80% (all types)<\/span>"
},
"Routine Cleanings": {
"Gold": "Covers 100% I.N.<\/span> (80% O.O.N.)<\/span>",
"Platinum": "Covers 100%"
},
"Routine Oral Exams": {
"Gold": "Covers 100% I.N.<\/span> (80% O.O.N.)<\/span>",
"Platinum": "Covers 100%"
},
"Fillings": {
"Gold": "Covers 60% I.N.<\/span> (50% O.O.N.)<\/span>",
"Platinum": "Covers 80%"
},
"Crown Repair": {
"Platinum": "Covers 80%",
"Gold": "Covers 35% I.N.<\/span> (25% O.O.N.)<\/span>"
},
"Denture Repair": {
"Platinum": "Covers 80%"
},
"Crown (all types)": {
"Gold": "Covers 35% I.N.<\/span> (25% O.O.N.)<\/span>",
"Platinum": "Covers 50%"
},
"Dentures (all types)": {
"Gold": "Covers 35% I.N.<\/span> (25% O.O.N.)<\/span>",
"Platinum": "Covers 50%"
},
"Root Canal (all types)": {
"Gold": "Covers 35% I.N.<\/span> (25% O.O.N.)<\/span>",
"Platinum": "Covers 50%"
},
"General Anesthesia": {
"Gold": "Covers 35% I.N.<\/span> (25% O.O.N.)<\/span>",
"Platinum": "Covers 50%"
},
"Periodontics": {
"Gold": "Covers 35% I.N.<\/span> (25% O.O.N.)<\/span>",
"Platinum": "Covers 50%"
}
},
"plans": {
"Gold": {
"inEffect": "2023-01-01T00:00:00",
"marketingInEffect": "2022-11-15T00:00:00",
"outOfEffect": "2024-12-31T00:00:00",
"marketingOutOfEffect": "2024-10-28T00:00:00",
"policyNumber": "350516",
"cleaningsPerPeriod": 2,
"cleaningPeriod": "Benefit Period",
"orthoEliminationPeriod": 0,
"examFrequency": 2,
"examPeriod": "Benefit Period",
"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": 150,
"dentalRewards": true,
"planLevel": "Gold",
"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": 37.43,
"coverage": "Member"
},
{
"rate": 84.58,
"coverage": "Member +1"
},
{
"rate": 104.25,
"coverage": "Member +Family"
}
],
"dentalPlanType": [
{
"dentalType": null,
"inNetworkPercent": 1,
"outOfNetworkPercent": 0.8,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 1,
"mceamount": 0,
"frequencyType": "Plan Period",
"name": "Bitewing X-rays"
},
{
"frequency": 2,
"mceamount": 0,
"frequencyType": "Plan Period",
"name": "Routine Cleanings"
},
{
"frequency": 2,
"mceamount": 0,
"frequencyType": "Plan Period",
"name": "Routine Oral Exams"
}
]
},
{
"dentalType": null,
"inNetworkPercent": 0.6,
"outOfNetworkPercent": 0.5,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Fillings"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Panoramic X-Rays"
}
]
},
{
"dentalType": null,
"inNetworkPercent": 0.35,
"outOfNetworkPercent": 0.25,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Crown Repair"
},
{
"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)"
}
]
}
],
"inEffectDate": "2023-01-01",
"inEffectTimestamp": 1672531200,
"outOfEffectDate": "2024-12-31",
"outOfEffectTimestamp": 1735603200,
"marketingInEffectDate": "2022-11-15",
"marketingInEffectTimestamp": 1668470400,
"inEffectDateCalc": "2022-11-15",
"marketingOutOfEffectDate": "2024-10-28",
"marketingOutOfEffectTimestamp": 1730073600,
"startTimestamp": 1704067200,
"isInEffect": true,
"marketingIsInEffect": true,
"planLevelText": "Essential Coverage",
"frequencyText": "per year & per person",
"frequencyTextAlt": "per year\/person",
"planCoverage": [
{
"rate": 37.43,
"coverage": "Member"
},
{
"rate": 84.58,
"coverage": "Member +1"
},
{
"rate": 104.25,
"coverage": "Member +Family"
}
],
"planType": "dental",
"types": [
{
"dentalType": null,
"inNetworkPercent": 1,
"outOfNetworkPercent": 0.8,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 1,
"mceamount": 0,
"frequencyType": "Plan Period",
"name": "Bitewing X-rays"
},
{
"frequency": 2,
"mceamount": 0,
"frequencyType": "Plan Period",
"name": "Routine Cleanings"
},
{
"frequency": 2,
"mceamount": 0,
"frequencyType": "Plan Period",
"name": "Routine Oral Exams"
}
],
"covers": "Covers 100% I.N.<\/span> (80% O.O.N.)<\/span>"
},
{
"dentalType": null,
"inNetworkPercent": 0.6,
"outOfNetworkPercent": 0.5,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Fillings"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Panoramic X-Rays"
}
],
"covers": "Covers 60% I.N.<\/span> (50% O.O.N.)<\/span>"
},
{
"dentalType": null,
"inNetworkPercent": 0.35,
"outOfNetworkPercent": 0.25,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Crown Repair"
},
{
"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)"
}
],
"covers": "Covers 35% I.N.<\/span> (25% O.O.N.)<\/span>"
}
],
"waived": [],
"waivedLabeled": false
},
"Platinum": {
"inEffect": "2023-01-01T00:00:00",
"marketingInEffect": "2022-11-15T00:00:00",
"outOfEffect": "2024-12-31T00:00:00",
"marketingOutOfEffect": "2024-10-28T00:00:00",
"policyNumber": "350516",
"cleaningsPerPeriod": 2,
"cleaningPeriod": "Benefit Period",
"orthoEliminationPeriod": 0,
"examFrequency": 2,
"examPeriod": "Benefit Period",
"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": 150,
"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": 59.18,
"coverage": "Member"
},
{
"rate": 126.77,
"coverage": "Member +1"
},
{
"rate": 129.86,
"coverage": "Member +Family"
}
],
"dentalPlanType": [
{
"dentalType": null,
"inNetworkPercent": 1,
"outOfNetworkPercent": 1,
"deductibleWaived": false,
"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)"
}
]
}
],
"inEffectDate": "2023-01-01",
"inEffectTimestamp": 1672531200,
"outOfEffectDate": "2024-12-31",
"outOfEffectTimestamp": 1735603200,
"marketingInEffectDate": "2022-11-15",
"marketingInEffectTimestamp": 1668470400,
"inEffectDateCalc": "2022-11-15",
"marketingOutOfEffectDate": "2024-10-28",
"marketingOutOfEffectTimestamp": 1730073600,
"startTimestamp": 1704067200,
"isInEffect": true,
"marketingIsInEffect": true,
"planLevelText": "Most Comprehensive",
"frequencyText": "per year & per person",
"frequencyTextAlt": "per year\/person",
"planCoverage": [
{
"rate": 59.18,
"coverage": "Member"
},
{
"rate": 126.77,
"coverage": "Member +1"
},
{
"rate": 129.86,
"coverage": "Member +Family"
}
],
"planType": "dental",
"types": [
{
"dentalType": null,
"inNetworkPercent": 1,
"outOfNetworkPercent": 1,
"deductibleWaived": false,
"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)"
}
],
"covers": "Covers 50%"
}
],
"waived": [],
"waivedLabeled": false
}
},
"procedures": {
"X-Rays": {
"bitewing)": 1,
"panoramic)": 1,
"all types)": 1
},
"Routine Cleanings": {
"": 1
},
"Routine Oral Exams": {
"": 1
},
"Fillings": {
"": 1
},
"Crown Repair": {
"": 1
},
"Crown": {
"all types)": 1
},
"Dentures": {
"all types)": 1
},
"Root Canal": {
"all types)": 1
},
"General Anesthesia": {
"": 1
},
"Periodontics": {
"": 1
},
"Denture Repair": {
"": 1
}
},
"coverage": {
"Member": {
"Gold": 37.43,
"Platinum": 59.18
},
"Member +Associate": [],
"Member +Spouse": [],
"Member +1": {
"Gold": 84.58,
"Platinum": 126.77
},
"Member +Family": {
"Gold": 104.25,
"Platinum": 129.86
},
"Member +Children": []
},
"annualPlanMax": {
"Gold": 1500,
"Platinum": 1500
},
"outOfNetAnnualPlanMax": {
"Gold": 1500,
"Platinum": 1500
},
"rewardsThreshold": {
"Gold": 750,
"Platinum": 750
},
"rewardsAnnualRollover": {
"Gold": 250,
"Platinum": 250
},
"rewardsMaxRollover": {
"Gold": 1000,
"Platinum": 1000
},
"type_1": {
"inNetworkPercent": {
"Gold": 1,
"Platinum": 1
},
"outOfNetworkPercent": {
"Gold": 0.8,
"Platinum": 1
},
"deductibleWaived": {
"Gold": false,
"Platinum": false
},
"services": {
"X-Rays": {
"Gold": 1
},
"Routine Cleanings": {
"Gold": 1,
"Platinum": 1
},
"Routine Oral Exams": {
"Gold": 1,
"Platinum": 1
}
}
},
"type_2": {
"inNetworkPercent": {
"Gold": 0.6,
"Platinum": 0.8
},
"outOfNetworkPercent": {
"Gold": 0.5,
"Platinum": 0.8
},
"deductibleWaived": {
"Gold": false,
"Platinum": false
},
"services": {
"Fillings": {
"Gold": 1,
"Platinum": 1
},
"X-Rays": {
"Gold": 1,
"Platinum": 1
},
"Crown Repair": {
"Platinum": 1
},
"Denture Repair": {
"Platinum": 1
}
}
},
"type_3": {
"inNetworkPercent": {
"Gold": 0.35,
"Platinum": 0.5
},
"outOfNetworkPercent": {
"Gold": 0.25,
"Platinum": 0.5
},
"deductibleWaived": {
"Gold": false,
"Platinum": false
},
"services": {
"Crown Repair": {
"Gold": 1
},
"Crown (all types)": {
"Gold": 1,
"Platinum": 1
},
"Dentures (all types)": {
"Gold": 1,
"Platinum": 1
},
"Root Canal (all types)": {
"Gold": 1,
"Platinum": 1
},
"General Anesthesia": {
"Gold": 1,
"Platinum": 1
},
"Periodontics": {
"Gold": 1,
"Platinum": 1
}
}
}
};