- 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
$41.64/month
$41.64/month
$58.62/month
Member +1
$83.65/month
$83.65/month
$121.08/month
Member +Family
$130.88/month
$130.88/month
$180.17/month
Deductible
$100.00 per year/person
$75.00
per year/person
(waived for Preventative services)
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
$750.00
$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
X-Rays
Covers 80% (bitewing)
Covers 80% (bitewing)
Covers 50% (panoramic)
Covers 50% (panoramic)
Covers 80% (bitewing)
Covers 80% (bitewing)
Covers 50% (panoramic)
Covers 50% (panoramic)
Covers 100% (bitewing)
Covers 60% (panoramic)
Routine Cleanings
Covers 80%
Covers 80%
Covers 80%
Covers 80%
Covers 100%
Routine Oral Exams
Covers 80%
Covers 80%
Covers 80%
Covers 80%
Covers 100%
Basic
Denture Repair
Covers 50%
Covers 50%
Covers 50%
Covers 50%
Covers 60%
Root Canal (all types)
Covers 50%
Covers 50%
Covers 50%
Covers 50%
Covers 60%
Fillings
Covers 50%
Covers 50%
Covers 50%
Covers 50%
Covers 60%
General Anesthesia
Covers 50%
Covers 50%
Covers 50%
Covers 50%
Covers 50%
X-Rays
Covers 80% (bitewing)
Covers 80% (bitewing)
Covers 50% (panoramic)
Covers 50% (panoramic)
Covers 80% (bitewing)
Covers 80% (bitewing)
Covers 50% (panoramic)
Covers 50% (panoramic)
Covers 100% (bitewing)
Covers 60% (panoramic)
Periodontics
Covers 50%
Covers 50%
Covers 50%
Covers 50%
Covers 60%
Extractions
Covers 50%
Covers 50%
Covers 50%
Covers 50%
Covers 50%
Major
Bridge Work
Covers 50%
Covers 50%
Covers 50%
Covers 50%
Covers 50%
Crown Repair
Covers 50%
Covers 50%
Covers 50%
Crown (all types)
Covers 50%
Covers 50%
Covers 50%
Dentures (all types)
Covers 50%
Covers 50%
Covers 50%
Oral Surgery
Covers 50%
Covers 50%
Covers 50%
General Anesthesia
Covers 50%
Covers 50%
Covers 50%
Covers 50%
Covers 50%
Extractions
Covers 50%
Covers 50%
Covers 50%
Covers 50%
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 October, 2022 to 30 September, 2024.
{
"services": {
"X-Rays": {
"Gold": "Covers 80% (bitewing)<\/span>
Covers 80% (bitewing)<\/span>
Covers 50% (panoramic)<\/span>
Covers 50% (panoramic)<\/span>",
"Platinum": "Covers 100% (bitewing)<\/span>
Covers 60% (panoramic)<\/span>"
},
"Routine Cleanings": {
"Gold": "Covers 80%
Covers 80%",
"Platinum": "Covers 100%"
},
"Routine Oral Exams": {
"Gold": "Covers 80%
Covers 80%",
"Platinum": "Covers 100%"
},
"Denture Repair": {
"Gold": "Covers 50%
Covers 50%",
"Platinum": "Covers 60%"
},
"Root Canal (all types)": {
"Gold": "Covers 50%
Covers 50%",
"Platinum": "Covers 60%"
},
"Fillings": {
"Gold": "Covers 50%
Covers 50%",
"Platinum": "Covers 60%"
},
"General Anesthesia": {
"Gold": "Covers 50%
Covers 50%",
"Platinum": "Covers 50%"
},
"Periodontics": {
"Gold": "Covers 50%
Covers 50%",
"Platinum": "Covers 60%"
},
"Extractions": {
"Gold": "Covers 50%
Covers 50%",
"Platinum": "Covers 50%"
},
"Bridge Work": {
"Gold": "Covers 50%
Covers 50%",
"Platinum": "Covers 50%"
},
"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%"
},
"Oral Surgery": {
"Gold": "Covers 50%",
"Platinum": "Covers 50%"
}
},
"plans": {
"Gold": {
"inEffect": "2024-10-01T00:00:00",
"marketingInEffect": "2024-08-27T00:00:00",
"outOfEffect": "2026-09-30T00:00:00",
"marketingOutOfEffect": "2026-08-26T00:00:00",
"policyNumber": "350504",
"cleaningsPerPeriod": 2,
"cleaningPeriod": "Benefit Period",
"orthoEliminationPeriod": 0,
"examFrequency": 2,
"examPeriod": "Benefit Period",
"orthoCoverageDescription": null,
"orthoLifetimeMax": 0,
"orthoCoInsurance": 0,
"annualPlanMax": 1000,
"outOfNetAnnualPlanMax": 1000,
"rewardsThreshold": 750,
"rewardsAnnualRollover": 250,
"ppobonus": 0,
"rewardsMaxRollover": 1000,
"waitingPeriod": null,
"notes": null,
"deductible": 100,
"familyDeductibleMax": 3,
"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": 41.64,
"coverage": "Member",
"areaName": null
},
{
"rate": 83.65,
"coverage": "Member +1",
"areaName": null
},
{
"rate": 130.88,
"coverage": "Member +Family",
"areaName": null
}
],
"dentalPlanRateBandState": [],
"dentalPlanType": [
{
"dentalType": null,
"inNetworkPercent": 0.8,
"outOfNetworkPercent": 0.8,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
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"mceamount": 0,
"frequencyType": null,
"name": "Bitewing X-rays"
},
{
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"frequencyType": null,
"name": "Routine Cleanings"
},
{
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"mceamount": 0,
"frequencyType": null,
"name": "Routine Oral Exams"
}
]
},
{
"dentalType": null,
"inNetworkPercent": 0.5,
"outOfNetworkPercent": 0.5,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 0,
"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": "Panoramic X-Rays"
},
{
"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": "Bridge Work"
}
]
}
],
"inEffectDate": "2024-10-01",
"inEffectTimestamp": 1727758800,
"outOfEffectDate": "2026-09-30",
"outOfEffectTimestamp": 1790744400,
"marketingInEffectDate": "2024-08-27",
"marketingInEffectTimestamp": 1724734800,
"inEffectDateCalc": "2024-08-27",
"marketingOutOfEffectDate": "2026-08-26",
"marketingOutOfEffectTimestamp": 1787720400,
"startTimestamp": 1727758800,
"isInEffect": true,
"marketingIsInEffect": true,
"planLevelText": "Essential Coverage",
"frequencyText": "per year & per person",
"frequencyTextAlt": "per year\/person",
"planCoverage": [
{
"rate": 41.64,
"coverage": "Member",
"areaName": null
},
{
"rate": 83.65,
"coverage": "Member +1",
"areaName": null
},
{
"rate": 130.88,
"coverage": "Member +Family",
"areaName": null
}
],
"planType": "dental",
"types": [
{
"dentalType": null,
"inNetworkPercent": 0.8,
"outOfNetworkPercent": 0.8,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
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"mceamount": 0,
"frequencyType": null,
"name": "Bitewing X-rays"
},
{
"frequency": 2,
"mceamount": 0,
"frequencyType": null,
"name": "Routine Cleanings"
},
{
"frequency": 2,
"mceamount": 0,
"frequencyType": null,
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}
],
"covers": "Covers 80%"
},
{
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"inNetworkPercent": 0.5,
"outOfNetworkPercent": 0.5,
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"dentalPlanTypeIncentive": [],
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{
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"frequencyType": null,
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},
{
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"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": "Panoramic X-Rays"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Periodontics (gum disease)"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Extractions"
}
],
"covers": "Covers 50%"
},
{
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"outOfNetworkPercent": 0.5,
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"dentalPlanTypeIncentive": [],
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{
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"mceamount": 0,
"frequencyType": null,
"name": "Bridge Work"
}
],
"covers": "Covers 50%"
}
],
"waived": [],
"waivedLabeled": false
},
"Platinum": {
"inEffect": "2022-10-01T00:00:00",
"marketingInEffect": "2022-08-15T00:00:00",
"outOfEffect": "2024-09-30T00:00:00",
"marketingOutOfEffect": "2024-09-30T00:00:00",
"policyNumber": "350504",
"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": 0,
"rewardsMaxRollover": 1000,
"waitingPeriod": null,
"notes": null,
"deductible": 75,
"familyDeductibleMax": 3,
"dentalRewards": true,
"planLevel": "Platinum",
"dentalNetworkDescription": "Non-PPO \/ Out-Of-Network Benefits",
"frequencyType": "Annual",
"carrier": {
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"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": 58.62,
"coverage": "Member",
"areaName": null
},
{
"rate": 121.08,
"coverage": "Member +1",
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},
{
"rate": 180.17,
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}
],
"dentalPlanRateBandState": [],
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{
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"deductibleWaived": true,
"dentalPlanTypeIncentive": [],
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{
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"frequencyType": null,
"name": "Bitewing X-rays"
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{
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"name": "Routine Cleanings"
},
{
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"name": "Routine Oral Exams"
}
]
},
{
"dentalType": null,
"inNetworkPercent": 0.6,
"outOfNetworkPercent": 0.6,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
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{
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"frequencyType": null,
"name": "Denture Repair"
},
{
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{
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"frequencyType": null,
"name": "Fillings"
},
{
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"mceamount": 0,
"frequencyType": null,
"name": "Panoramic X-Rays"
},
{
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"frequencyType": null,
"name": "Periodontics (gum disease)"
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]
},
{
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"outOfNetworkPercent": 0.5,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
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"mceamount": 0,
"frequencyType": null,
"name": "Bridge Work"
},
{
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"mceamount": 0,
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"name": "Crown Repair"
},
{
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"mceamount": 0,
"frequencyType": null,
"name": "Crowns"
},
{
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"name": "Dentures"
},
{
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"frequencyType": null,
"name": "General Anesthesia"
},
{
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"frequencyType": null,
"name": "Oral Surgery"
},
{
"frequency": 0,
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"frequencyType": null,
"name": "Extractions"
}
]
}
],
"inEffectDate": "2022-10-01",
"inEffectTimestamp": 1664600400,
"outOfEffectDate": "2024-09-30",
"outOfEffectTimestamp": 1727672400,
"marketingInEffectDate": "2022-08-15",
"marketingInEffectTimestamp": 1660539600,
"inEffectDateCalc": "2022-08-15",
"marketingOutOfEffectDate": "2024-09-30",
"marketingOutOfEffectTimestamp": 1727672400,
"startTimestamp": 1727758800,
"isInEffect": false,
"marketingIsInEffect": true,
"planLevelText": "Most Comprehensive",
"frequencyText": "per year & per person",
"frequencyTextAlt": "per year\/person",
"planCoverage": [
{
"rate": 58.62,
"coverage": "Member",
"areaName": null
},
{
"rate": 121.08,
"coverage": "Member +1",
"areaName": null
},
{
"rate": 180.17,
"coverage": "Member +Family",
"areaName": null
}
],
"planType": "dental",
"types": [
{
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{
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"frequencyType": null,
"name": "Bitewing X-rays"
},
{
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"mceamount": 0,
"frequencyType": null,
"name": "Routine Cleanings"
},
{
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"mceamount": 0,
"frequencyType": null,
"name": "Routine Oral Exams"
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],
"covers": "Covers 100%"
},
{
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"inNetworkPercent": 0.6,
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"dentalPlanTypeIncentive": [],
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{
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"name": "Denture Repair"
},
{
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"name": "Endodontics (root canals)"
},
{
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"frequencyType": null,
"name": "Fillings"
},
{
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"frequencyType": null,
"name": "Panoramic X-Rays"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Periodontics (gum disease)"
}
],
"covers": "Covers 60%"
},
{
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"inNetworkPercent": 0.5,
"outOfNetworkPercent": 0.5,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
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"mceamount": 0,
"frequencyType": null,
"name": "Bridge Work"
},
{
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"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": "General Anesthesia"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Oral Surgery"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Extractions"
}
],
"covers": "Covers 50%"
}
],
"waived": [
1
],
"waivedLabeled": [
"Preventative"
]
}
},
"procedures": {
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"bitewing)": 1,
"panoramic)": 1
},
"Routine Cleanings": {
"": 1
},
"Routine Oral Exams": {
"": 1
},
"Denture Repair": {
"": 1
},
"Root Canal": {
"all types)": 1
},
"Fillings": {
"": 1
},
"General Anesthesia": {
"": 1
},
"Periodontics": {
"": 1
},
"Extractions": {
"": 1
},
"Bridge Work": {
"": 1
},
"Crown Repair": {
"": 1
},
"Crown": {
"all types)": 1
},
"Dentures": {
"all types)": 1
},
"Oral Surgery": {
"": 1
}
},
"coverage": {
"Member": {
"Gold": 41.64,
"Platinum": 58.62
},
"Member +Associate": [],
"Member +Spouse": [],
"Member +1": {
"Gold": 83.65,
"Platinum": 121.08
},
"Member +Family": {
"Gold": 130.88,
"Platinum": 180.17
},
"Member +Children": []
},
"annualPlanMax": {
"Gold": 1000,
"Platinum": 1500
},
"outOfNetAnnualPlanMax": {
"Gold": 1000,
"Platinum": 1500
},
"rewardsThreshold": {
"Gold": 750,
"Platinum": 750
},
"rewardsAnnualRollover": {
"Gold": 250,
"Platinum": 250
},
"rewardsMaxRollover": {
"Gold": 1000,
"Platinum": 1000
},
"type_1": {
"inNetworkPercent": {
"Gold": 0.8,
"Platinum": 1
},
"outOfNetworkPercent": {
"Gold": 0.8,
"Platinum": 1
},
"deductibleWaived": {
"Gold": false,
"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": 0.5,
"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
},
"X-Rays": {
"Gold": 1,
"Platinum": 1
},
"Periodontics": {
"Gold": 1,
"Platinum": 1
},
"Extractions": {
"Gold": 1
}
}
},
"type_3": {
"inNetworkPercent": {
"Gold": 0.5,
"Platinum": 0.5
},
"outOfNetworkPercent": {
"Gold": 0.5,
"Platinum": 0.5
},
"deductibleWaived": {
"Gold": false,
"Platinum": false
},
"services": {
"Bridge Work": {
"Gold": 1,
"Platinum": 1
},
"Crown Repair": {
"Gold": 1,
"Platinum": 1
},
"Crown (all types)": {
"Gold": 1,
"Platinum": 1
},
"Dentures (all types)": {
"Gold": 1,
"Platinum": 1
},
"Oral Surgery": {
"Gold": 1,
"Platinum": 1
},
"General Anesthesia": {
"Platinum": 1
},
"Extractions": {
"Platinum": 1
}
}
}
};