- 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
$36.09/month
$59.88/month
Member +1
$72.17/month
$119.76/month
Member +Family
$108.02/month
$171.09/month
Deductible
$75.00 per year/person
$75.00 per year/person
In Network
$1,000.00 per year/person
$1,500.00 per year/person
Out of Network
$1,000.00 per year/person
$1,500.00 per year/person
Annual Benefit Threshold
$500.00
$750.00
Annual Maximum Benefit
$1,000.00
$1,500.00
Dental Rewards Carry Over
$250.00
$250.00
Year 2 Maximum Benefit
$1,250.00
$1,750.00
Total Maximum Benefit
$2,000.00
$2,500.00
Preventative
Routine Cleanings
Covers 100%
Not Covered
Routine Oral Exams
Covers 100%
Not Covered
Basic
Crown Repair
Covers 75%
Not Covered
Denture Repair
Covers 75%
Not Covered
Fillings
Covers 75%
Not Covered
X-Rays (all types)
Covers 75%
Not Covered
Major
Crown (all types)
Covers 40%
Not Covered
Dentures (all types)
Covers 40%
Not Covered
Root Canal (all types)
Covers 40%
Not Covered
General Anesthesia
Covers 40%
Not Covered
Periodontics
Covers 40%
Not Covered
Extractions
Covers 40%
Not Covered
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 October, 2023 to 30 September, 2025.
{
"services": {
"Routine Cleanings": {
"Gold": "Covers 100%"
},
"Routine Oral Exams": {
"Gold": "Covers 100%"
},
"Crown Repair": {
"Gold": "Covers 75%"
},
"Denture Repair": {
"Gold": "Covers 75%"
},
"Fillings": {
"Gold": "Covers 75%"
},
"X-Rays (all types)": {
"Gold": "Covers 75%"
},
"Crown (all types)": {
"Gold": "Covers 40%"
},
"Dentures (all types)": {
"Gold": "Covers 40%"
},
"Root Canal (all types)": {
"Gold": "Covers 40%"
},
"General Anesthesia": {
"Gold": "Covers 40%"
},
"Periodontics": {
"Gold": "Covers 40%"
},
"Extractions": {
"Gold": "Covers 40%"
}
},
"plans": {
"Gold": {
"inEffect": "2023-10-01T00:00:00",
"marketingInEffect": "2023-08-28T00:00:00",
"outOfEffect": "2025-09-30T00:00:00",
"marketingOutOfEffect": "2025-08-28T00:00:00",
"policyNumber": "350965",
"cleaningsPerPeriod": 2,
"cleaningPeriod": "Benefit Period",
"orthoEliminationPeriod": 0,
"examFrequency": 2,
"examPeriod": "Benefit Period",
"orthoCoverageDescription": "None",
"orthoLifetimeMax": 0,
"orthoCoInsurance": 0,
"annualPlanMax": 1000,
"outOfNetAnnualPlanMax": 1000,
"rewardsThreshold": 500,
"rewardsAnnualRollover": 250,
"ppobonus": 150,
"rewardsMaxRollover": 1000,
"waitingPeriod": null,
"notes": null,
"deductible": 75,
"familyDeductibleMax": 225,
"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": 36.09,
"coverage": "Member"
},
{
"rate": 72.17,
"coverage": "Member +1"
},
{
"rate": 108.02,
"coverage": "Member +Family"
}
],
"dentalPlanType": [
{
"dentalType": null,
"inNetworkPercent": 1,
"outOfNetworkPercent": 1,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 2,
"mceamount": 0,
"frequencyType": "Annual",
"name": "Routine Cleanings"
},
{
"frequency": 2,
"mceamount": 0,
"frequencyType": "Annual",
"name": "Routine Oral Exams"
}
]
},
{
"dentalType": null,
"inNetworkPercent": 0.75,
"outOfNetworkPercent": 0.75,
"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": 0.4,
"outOfNetworkPercent": 0.4,
"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": "2023-10-01",
"inEffectTimestamp": 1696118400,
"outOfEffectDate": "2025-09-30",
"outOfEffectTimestamp": 1759190400,
"marketingInEffectDate": "2023-08-28",
"marketingInEffectTimestamp": 1693180800,
"inEffectDateCalc": "2023-08-28",
"marketingOutOfEffectDate": "2025-08-28",
"marketingOutOfEffectTimestamp": 1756339200,
"planLevelText": "Essential Coverage",
"frequencyText": "per year & per person",
"frequencyTextAlt": "per year\/person",
"planCoverage": [
{
"rate": 36.09,
"coverage": "Member"
},
{
"rate": 72.17,
"coverage": "Member +1"
},
{
"rate": 108.02,
"coverage": "Member +Family"
}
],
"planType": "dental",
"types": [
{
"dentalType": null,
"inNetworkPercent": 1,
"outOfNetworkPercent": 1,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 2,
"mceamount": 0,
"frequencyType": "Annual",
"name": "Routine Cleanings"
},
{
"frequency": 2,
"mceamount": 0,
"frequencyType": "Annual",
"name": "Routine Oral Exams"
}
],
"covers": "Covers 100%"
},
{
"dentalType": null,
"inNetworkPercent": 0.75,
"outOfNetworkPercent": 0.75,
"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 75%"
},
{
"dentalType": null,
"inNetworkPercent": 0.4,
"outOfNetworkPercent": 0.4,
"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 40%"
}
],
"waived": [],
"waivedLabeled": false
},
"Platinum": {
"inEffect": "2023-10-01T00:00:00",
"marketingInEffect": "2023-08-28T00:00:00",
"outOfEffect": "2025-09-30T00:00:00",
"marketingOutOfEffect": "2025-08-28T00:00:00",
"policyNumber": "350965",
"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": 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": 59.88,
"coverage": "Member"
},
{
"rate": 119.76,
"coverage": "Member +1"
},
{
"rate": 171.09,
"coverage": "Member +Family"
}
],
"dentalPlanType": [],
"inEffectDate": "2023-10-01",
"inEffectTimestamp": 1696118400,
"outOfEffectDate": "2025-09-30",
"outOfEffectTimestamp": 1759190400,
"marketingInEffectDate": "2023-08-28",
"marketingInEffectTimestamp": 1693180800,
"inEffectDateCalc": "2023-08-28",
"marketingOutOfEffectDate": "2025-08-28",
"marketingOutOfEffectTimestamp": 1756339200,
"planLevelText": "Most Comprehensive",
"frequencyText": "per year & per person",
"frequencyTextAlt": "per year\/person",
"planCoverage": [
{
"rate": 59.88,
"coverage": "Member"
},
{
"rate": 119.76,
"coverage": "Member +1"
},
{
"rate": 171.09,
"coverage": "Member +Family"
}
],
"planType": "dental",
"types": [],
"waived": false,
"waivedLabeled": false
}
},
"procedures": {
"Routine Cleanings": {
"": 1
},
"Routine Oral Exams": {
"": 1
},
"Crown Repair": {
"": 1
},
"Denture Repair": {
"": 1
},
"Fillings": {
"": 1
},
"X-Rays": {
"all types)": 1
},
"Crown": {
"all types)": 1
},
"Dentures": {
"all types)": 1
},
"Root Canal": {
"all types)": 1
},
"General Anesthesia": {
"": 1
},
"Periodontics": {
"": 1
},
"Extractions": {
"": 1
}
},
"coverage": {
"Member": {
"Gold": 36.09,
"Platinum": 59.88
},
"Member +Associate": [],
"Member +Spouse": [],
"Member +1": {
"Gold": 72.17,
"Platinum": 119.76
},
"Member +Family": {
"Gold": 108.02,
"Platinum": 171.09
},
"Member +Children": []
},
"annualPlanMax": {
"Gold": 1000,
"Platinum": 1500
},
"outOfNetAnnualPlanMax": {
"Gold": 1000,
"Platinum": 1500
},
"rewardsThreshold": {
"Gold": 500,
"Platinum": 750
},
"rewardsAnnualRollover": {
"Gold": 250,
"Platinum": 250
},
"rewardsMaxRollover": {
"Gold": 1000,
"Platinum": 1000
},
"type_1": {
"inNetworkPercent": {
"Gold": 1
},
"outOfNetworkPercent": {
"Gold": 1
},
"deductibleWaived": {
"Gold": false
},
"services": {
"Routine Cleanings": {
"Gold": 1
},
"Routine Oral Exams": {
"Gold": 1
}
}
},
"type_2": {
"inNetworkPercent": {
"Gold": 0.75
},
"outOfNetworkPercent": {
"Gold": 0.75
},
"deductibleWaived": {
"Gold": false
},
"services": {
"Crown Repair": {
"Gold": 1
},
"Denture Repair": {
"Gold": 1
},
"Fillings": {
"Gold": 1
},
"X-Rays (all types)": {
"Gold": 1
}
}
},
"type_3": {
"inNetworkPercent": {
"Gold": 0.4
},
"outOfNetworkPercent": {
"Gold": 0.4
},
"deductibleWaived": {
"Gold": false
},
"services": {
"Crown (all types)": {
"Gold": 1
},
"Dentures (all types)": {
"Gold": 1
},
"Root Canal (all types)": {
"Gold": 1
},
"General Anesthesia": {
"Gold": 1
},
"Periodontics": {
"Gold": 1
},
"Extractions": {
"Gold": 1
}
}
}
};