- 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 – get access right away
- Covers exams, cleanings, fillings, crowns, implants, and more
- High annual maximum
that can increase after one year
Member
$34.17/month
$44.86/month
Member +1
$68.87/month
$90.44/month
Member +Family
$115.42/month
$151.62/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
$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
Covers 100% I.N. (80% O.O.N.) (bitewing)
Covers 80% I.N. (60% O.O.N.) (panoramic)
Covers 100% (bitewing)
Covers 80% (panoramic)
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
Denture Repair
Covers 80% I.N. (60% O.O.N.)
Covers 80%
Fillings
Covers 80% I.N. (60% O.O.N.)
Covers 80%
General Anesthesia
Covers 80% I.N. (60% O.O.N.)
Covers 80%
X-Rays
Covers 100% I.N. (80% O.O.N.) (bitewing)
Covers 80% I.N. (60% O.O.N.) (panoramic)
Covers 100% (bitewing)
Covers 80% (panoramic)
Major
Crown Repair
Covers 50%
Covers 50%
Crown (all types)
Covers 50%
Covers 50%
Dentures (all types)
Covers 50%
Covers 50%
Root Canal (all types)
Covers 50%
Covers 50%
Implants
Covers 50%
Covers 50%
Oral Surgery
Covers 50%
Covers 50%
Periodontics
Covers 50%
Covers 50%
Use your current dentist OR Save 25-50% with a dentist in our network. Find a dentist
Details may vary based on start date. Upon enrollment you will receive a ‘welcome to the program’ letter then you will receive your full policy documents and ID cards. Please consult your policy as the final ultimate source of covered services and program details.
Rates valid from 1 October, 2020 to 30 September, 2022.
{
"services": {
"X-Rays": {
"Gold": "Covers 100% I.N.<\/span> (80% O.O.N.)<\/span> (bitewing)<\/span>
Covers 80% I.N.<\/span> (60% O.O.N.)<\/span> (panoramic)<\/span>",
"Platinum": "Covers 100% (bitewing)<\/span>
Covers 80% (panoramic)<\/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%"
},
"Denture Repair": {
"Gold": "Covers 80% I.N.<\/span> (60% O.O.N.)<\/span>",
"Platinum": "Covers 80%"
},
"Fillings": {
"Gold": "Covers 80% I.N.<\/span> (60% O.O.N.)<\/span>",
"Platinum": "Covers 80%"
},
"General Anesthesia": {
"Gold": "Covers 80% I.N.<\/span> (60% O.O.N.)<\/span>",
"Platinum": "Covers 80%"
},
"Crown Repair": {
"Gold": "Covers 50%",
"Platinum": "Covers 50%"
},
"Crown (all types)": {
"Gold": "Covers 50%",
"Platinum": "Covers 50%"
},
"Dentures (all types)": {
"Gold": "Covers 50%",
"Platinum": "Covers 50%"
},
"Root Canal (all types)": {
"Gold": "Covers 50%",
"Platinum": "Covers 50%"
},
"Implants": {
"Gold": "Covers 50%",
"Platinum": "Covers 50%"
},
"Oral Surgery": {
"Gold": "Covers 50%",
"Platinum": "Covers 50%"
},
"Periodontics": {
"Gold": "Covers 50%",
"Platinum": "Covers 50%"
}
},
"plans": {
"Gold": {
"inEffect": "2020-10-01T00:00:00",
"marketingInEffect": "2020-10-01T00:00:00",
"outOfEffect": "2022-09-30T00:00:00",
"marketingOutOfEffect": "2022-09-30T00:00:00",
"policyNumber": "350964",
"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": 100,
"rewardsMaxRollover": 1000,
"waitingPeriod": null,
"notes": null,
"deductible": 75,
"familyDeductibleMax": 225,
"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"
},
"dentalPlanCoverage": [
{
"rate": 34.17,
"coverage": "Member"
},
{
"rate": 68.87,
"coverage": "Member +1"
},
{
"rate": 115.42,
"coverage": "Member +Family"
}
],
"dentalPlanType": [
{
"inNetworkPercent": 1,
"outOfNetworkPercent": 0.8,
"deductibleWaived": true,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 1,
"mceamount": 0,
"frequencyType": null,
"name": "Bitewing X-rays"
},
{
"frequency": 2,
"mceamount": 0,
"frequencyType": "Plan Period",
"name": "Routine Cleanings"
},
{
"frequency": 2,
"mceamount": 0,
"frequencyType": null,
"name": "Routine Oral Exams"
}
]
},
{
"inNetworkPercent": 0.8,
"outOfNetworkPercent": 0.6,
"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"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Panoramic X-Rays"
}
]
},
{
"inNetworkPercent": 0.5,
"outOfNetworkPercent": 0.5,
"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": "Implants"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Oral Surgery"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Periodontics (gum disease)"
}
]
}
],
"inEffectDate": "2020-10-01",
"inEffectTimestamp": 1601510400,
"outOfEffectDate": "2022-09-30",
"outOfEffectTimestamp": 1664496000,
"startTimestamp": 1661990400,
"isInEffect": true,
"planLevelText": "Essential Coverage",
"frequencyText": "per year & per person",
"frequencyTextAlt": "per year\/person",
"planCoverage": [
{
"rate": 34.17,
"coverage": "Member"
},
{
"rate": 68.87,
"coverage": "Member +1"
},
{
"rate": 115.42,
"coverage": "Member +Family"
}
],
"planType": "dental",
"types": [
{
"inNetworkPercent": 1,
"outOfNetworkPercent": 0.8,
"deductibleWaived": true,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 1,
"mceamount": 0,
"frequencyType": null,
"name": "Bitewing X-rays"
},
{
"frequency": 2,
"mceamount": 0,
"frequencyType": "Plan Period",
"name": "Routine Cleanings"
},
{
"frequency": 2,
"mceamount": 0,
"frequencyType": null,
"name": "Routine Oral Exams"
}
],
"covers": "Covers 100% I.N.<\/span> (80% O.O.N.)<\/span>"
},
{
"inNetworkPercent": 0.8,
"outOfNetworkPercent": 0.6,
"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"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Panoramic X-Rays"
}
],
"covers": "Covers 80% I.N.<\/span> (60% O.O.N.)<\/span>"
},
{
"inNetworkPercent": 0.5,
"outOfNetworkPercent": 0.5,
"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": "Implants"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Oral Surgery"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Periodontics (gum disease)"
}
],
"covers": "Covers 50%"
}
]
},
"Platinum": {
"inEffect": "2020-10-01T00:00:00",
"marketingInEffect": "2020-10-01T00:00:00",
"outOfEffect": "2022-09-30T00:00:00",
"marketingOutOfEffect": "2022-09-30T00:00:00",
"policyNumber": "350964",
"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": 100,
"rewardsMaxRollover": 1000,
"waitingPeriod": null,
"notes": null,
"deductible": 75,
"familyDeductibleMax": 225,
"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"
},
"dentalPlanCoverage": [
{
"rate": 44.86,
"coverage": "Member"
},
{
"rate": 90.44,
"coverage": "Member +1"
},
{
"rate": 151.62,
"coverage": "Member +Family"
}
],
"dentalPlanType": [
{
"inNetworkPercent": 1,
"outOfNetworkPercent": 1,
"deductibleWaived": true,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 1,
"mceamount": 0,
"frequencyType": null,
"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"
}
]
},
{
"inNetworkPercent": 0.8,
"outOfNetworkPercent": 0.8,
"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"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Panoramic X-Rays"
}
]
},
{
"inNetworkPercent": 0.5,
"outOfNetworkPercent": 0.5,
"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": "Implants"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Oral Surgery"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Periodontics (gum disease)"
}
]
}
],
"inEffectDate": "2020-10-01",
"inEffectTimestamp": 1601510400,
"outOfEffectDate": "2022-09-30",
"outOfEffectTimestamp": 1664496000,
"startTimestamp": 1661990400,
"isInEffect": true,
"planLevelText": "Most Comprehensive",
"frequencyText": "per year & per person",
"frequencyTextAlt": "per year\/person",
"planCoverage": [
{
"rate": 44.86,
"coverage": "Member"
},
{
"rate": 90.44,
"coverage": "Member +1"
},
{
"rate": 151.62,
"coverage": "Member +Family"
}
],
"planType": "dental",
"types": [
{
"inNetworkPercent": 1,
"outOfNetworkPercent": 1,
"deductibleWaived": true,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 1,
"mceamount": 0,
"frequencyType": null,
"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%"
},
{
"inNetworkPercent": 0.8,
"outOfNetworkPercent": 0.8,
"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"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Panoramic X-Rays"
}
],
"covers": "Covers 80%"
},
{
"inNetworkPercent": 0.5,
"outOfNetworkPercent": 0.5,
"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": "Implants"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Oral Surgery"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Periodontics (gum disease)"
}
],
"covers": "Covers 50%"
}
]
}
},
"procedures": {
"X-Rays": {
"bitewing)": 1,
"panoramic)": 1
},
"Routine Cleanings": {
"": 1
},
"Routine Oral Exams": {
"": 1
},
"Denture Repair": {
"": 1
},
"Fillings": {
"": 1
},
"General Anesthesia": {
"": 1
},
"Crown Repair": {
"": 1
},
"Crown": {
"all types)": 1
},
"Dentures": {
"all types)": 1
},
"Root Canal": {
"all types)": 1
},
"Implants": {
"": 1
},
"Oral Surgery": {
"": 1
},
"Periodontics": {
"": 1
}
},
"coverage": {
"Member": {
"Gold": 34.17,
"Platinum": 44.86
},
"Member +1": {
"Gold": 68.87,
"Platinum": 90.44
},
"Member +Family": {
"Gold": 115.42,
"Platinum": 151.62
}
},
"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": 1,
"Platinum": 1
},
"outOfNetworkPercent": {
"Gold": 0.8,
"Platinum": 1
},
"deductibleWaived": {
"Gold": true,
"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": 0.8,
"Platinum": 0.8
},
"outOfNetworkPercent": {
"Gold": 0.6,
"Platinum": 0.8
},
"deductibleWaived": {
"Gold": false,
"Platinum": false
},
"services": {
"Denture Repair": {
"Gold": 1,
"Platinum": 1
},
"Fillings": {
"Gold": 1,
"Platinum": 1
},
"General Anesthesia": {
"Gold": 1,
"Platinum": 1
},
"X-Rays": {
"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 Repair": {
"Gold": 1,
"Platinum": 1
},
"Crown (all types)": {
"Gold": 1,
"Platinum": 1
},
"Dentures (all types)": {
"Gold": 1,
"Platinum": 1
},
"Root Canal (all types)": {
"Gold": 1,
"Platinum": 1
},
"Implants": {
"Gold": 1,
"Platinum": 1
},
"Oral Surgery": {
"Gold": 1,
"Platinum": 1
},
"Periodontics": {
"Gold": 1,
"Platinum": 1
}
}
}
};