- 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, implants, and more
- High annual maximum
that can increase after one year
Member
$43.08/month
$56.96/month
Member +1
$89.46/month
$116.74/month
Member +Family
$146.36/month
$185.08/month
Deductible
$50.00 per year/person
$50.00 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%
Covers 100%
Routine Oral Exams
Covers 100%
Covers 100%
X-Rays (all types)
Covers 100%
Covers 100%
Basic
Denture Repair
Covers 60%
80% after year 2
70% after year 1
Covers 80%
Fillings
Covers 60%
80% after year 2
70% after year 1
Covers 80%
General Anesthesia
Covers 60%
80% after year 2
70% after year 1
Covers 80%
Major
Crown Repair
Covers 30%
50% after year 2
40% after year 1
Covers 50%
Crown (all types)
Covers 30%
50% after year 2
40% after year 1
Covers 50%
Root Canal (all types)
Covers 30%
50% after year 2
40% after year 1
Covers 50%
Implants
Covers 30%
50% after year 2
40% after year 1
Covers 50%
Oral Surgery
Covers 30%
50% after year 2
40% after year 1
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 March, 2023 to 28 February, 2025.
{
"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 60%
\n80% after year 2<\/span>
\n70% after year 1<\/span>",
"Platinum": "Covers 80%"
},
"Fillings": {
"Gold": "Covers 60%
\n80% after year 2<\/span>
\n70% after year 1<\/span>",
"Platinum": "Covers 80%"
},
"General Anesthesia": {
"Gold": "Covers 60%
\n80% after year 2<\/span>
\n70% after year 1<\/span>",
"Platinum": "Covers 80%"
},
"Crown Repair": {
"Gold": "Covers 30%
\n50% after year 2<\/span>
\n40% after year 1<\/span>",
"Platinum": "Covers 50%"
},
"Crown (all types)": {
"Gold": "Covers 30%
\n50% after year 2<\/span>
\n40% after year 1<\/span>",
"Platinum": "Covers 50%"
},
"Root Canal (all types)": {
"Gold": "Covers 30%
\n50% after year 2<\/span>
\n40% after year 1<\/span>",
"Platinum": "Covers 50%"
},
"Implants": {
"Gold": "Covers 30%
\n50% after year 2<\/span>
\n40% after year 1<\/span>",
"Platinum": "Covers 50%"
},
"Oral Surgery": {
"Gold": "Covers 30%
\n50% after year 2<\/span>
\n40% after year 1<\/span>",
"Platinum": "Covers 50%"
}
},
"plans": {
"Gold": {
"inEffect": "2023-03-01T00:00:00",
"marketingInEffect": "2023-02-15T00:00:00",
"outOfEffect": "2025-02-28T00:00:00",
"marketingOutOfEffect": "2025-02-24T00:00:00",
"policyNumber": "010-351065",
"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": 0,
"rewardsMaxRollover": 1000,
"waitingPeriod": "0",
"notes": null,
"deductible": 50,
"familyDeductibleMax": 0,
"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": 43.08,
"coverage": "Member",
"areaName": null
},
{
"rate": 89.46,
"coverage": "Member +1",
"areaName": null
},
{
"rate": 146.36,
"coverage": "Member +Family",
"areaName": null
}
],
"dentalPlanRateBandState": [],
"dentalPlanType": [
{
"dentalType": null,
"inNetworkPercent": 1,
"outOfNetworkPercent": 1,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Routine Cleanings"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Routine Oral Exams"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "X-rays"
}
]
},
{
"dentalType": null,
"inNetworkPercent": 0.6,
"outOfNetworkPercent": 0.6,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [
{
"year": 2,
"inNetworkPercent": 0.8,
"outOfNetworkPercent": 0.8
},
{
"year": 1,
"inNetworkPercent": 0.7,
"outOfNetworkPercent": 0.7
}
],
"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": 0.3,
"outOfNetworkPercent": 0.3,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [
{
"year": 2,
"inNetworkPercent": 0.5,
"outOfNetworkPercent": 0.5
},
{
"year": 1,
"inNetworkPercent": 0.4,
"outOfNetworkPercent": 0.4
}
],
"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": "Endodontics (root canals)"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Implants"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Oral Surgery"
}
]
}
],
"inEffectDate": "2023-03-01",
"inEffectTimestamp": 1677650400,
"outOfEffectDate": "2025-02-28",
"outOfEffectTimestamp": 1740722400,
"marketingInEffectDate": "2023-02-15",
"marketingInEffectTimestamp": 1676440800,
"inEffectDateCalc": "2023-02-15",
"marketingOutOfEffectDate": "2025-02-24",
"marketingOutOfEffectTimestamp": 1740376800,
"startTimestamp": 1727758800,
"isInEffect": true,
"marketingIsInEffect": true,
"planLevelText": "Essential Coverage",
"frequencyText": "per year & per person",
"frequencyTextAlt": "per year\/person",
"planCoverage": [
{
"rate": 43.08,
"coverage": "Member",
"areaName": null
},
{
"rate": 89.46,
"coverage": "Member +1",
"areaName": null
},
{
"rate": 146.36,
"coverage": "Member +Family",
"areaName": null
}
],
"planType": "dental",
"types": [
{
"dentalType": null,
"inNetworkPercent": 1,
"outOfNetworkPercent": 1,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Routine Cleanings"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Routine Oral Exams"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "X-rays"
}
],
"covers": "Covers 100%"
},
{
"dentalType": null,
"inNetworkPercent": 0.6,
"outOfNetworkPercent": 0.6,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [
{
"year": 2,
"inNetworkPercent": 0.8,
"outOfNetworkPercent": 0.8
},
{
"year": 1,
"inNetworkPercent": 0.7,
"outOfNetworkPercent": 0.7
}
],
"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 60%\n80% after year 2<\/span>\n70% after year 1<\/span>"
},
{
"dentalType": null,
"inNetworkPercent": 0.3,
"outOfNetworkPercent": 0.3,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [
{
"year": 2,
"inNetworkPercent": 0.5,
"outOfNetworkPercent": 0.5
},
{
"year": 1,
"inNetworkPercent": 0.4,
"outOfNetworkPercent": 0.4
}
],
"dentalPlanTypeProcedure": [
{
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"mceamount": 0,
"frequencyType": null,
"name": "Crown Repair"
},
{
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"mceamount": 0,
"frequencyType": null,
"name": "Crowns"
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{
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"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"
}
],
"covers": "Covers 30%\n50% after year 2<\/span>\n40% after year 1<\/span>"
}
],
"waived": [],
"waivedLabeled": false
},
"Platinum": {
"inEffect": "2023-03-01T00:00:00",
"marketingInEffect": "2023-02-15T00:00:00",
"outOfEffect": "2025-02-28T00:00:00",
"marketingOutOfEffect": "2025-02-24T00:00:00",
"policyNumber": "010-351065",
"cleaningsPerPeriod": 2,
"cleaningPeriod": "Benefit Period",
"orthoEliminationPeriod": 0,
"examFrequency": 2,
"examPeriod": "Benefit Period",
"orthoCoverageDescription": null,
"orthoLifetimeMax": 0,
"orthoCoInsurance": 0,
"annualPlanMax": 1500,
"outOfNetAnnualPlanMax": 1500,
"rewardsThreshold": 750,
"rewardsAnnualRollover": 250,
"ppobonus": 0,
"rewardsMaxRollover": 1000,
"waitingPeriod": "0",
"notes": null,
"deductible": 50,
"familyDeductibleMax": 0,
"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": 56.96,
"coverage": "Member",
"areaName": null
},
{
"rate": 116.74,
"coverage": "Member +1",
"areaName": null
},
{
"rate": 185.08,
"coverage": "Member +Family",
"areaName": null
}
],
"dentalPlanRateBandState": [],
"dentalPlanType": [
{
"dentalType": null,
"inNetworkPercent": 1,
"outOfNetworkPercent": 1,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Routine Cleanings"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Routine Oral Exams"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "X-rays"
}
]
},
{
"dentalType": null,
"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"
}
]
},
{
"dentalType": null,
"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": "Endodontics (root canals)"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Implants"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Oral Surgery"
}
]
}
],
"inEffectDate": "2023-03-01",
"inEffectTimestamp": 1677650400,
"outOfEffectDate": "2025-02-28",
"outOfEffectTimestamp": 1740722400,
"marketingInEffectDate": "2023-02-15",
"marketingInEffectTimestamp": 1676440800,
"inEffectDateCalc": "2023-02-15",
"marketingOutOfEffectDate": "2025-02-24",
"marketingOutOfEffectTimestamp": 1740376800,
"startTimestamp": 1727758800,
"isInEffect": true,
"marketingIsInEffect": true,
"planLevelText": "Most Comprehensive",
"frequencyText": "per year & per person",
"frequencyTextAlt": "per year\/person",
"planCoverage": [
{
"rate": 56.96,
"coverage": "Member",
"areaName": null
},
{
"rate": 116.74,
"coverage": "Member +1",
"areaName": null
},
{
"rate": 185.08,
"coverage": "Member +Family",
"areaName": null
}
],
"planType": "dental",
"types": [
{
"dentalType": null,
"inNetworkPercent": 1,
"outOfNetworkPercent": 1,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Routine Cleanings"
},
{
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"mceamount": 0,
"frequencyType": null,
"name": "Routine Oral Exams"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "X-rays"
}
],
"covers": "Covers 100%"
},
{
"dentalType": null,
"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"
}
],
"covers": "Covers 80%"
},
{
"dentalType": null,
"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": "Endodontics (root canals)"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Implants"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Oral Surgery"
}
],
"covers": "Covers 50%"
}
],
"waived": [],
"waivedLabeled": false
}
},
"procedures": {
"Routine Cleanings": {
"": 1
},
"Routine Oral Exams": {
"": 1
},
"X-Rays": {
"all types)": 1
},
"Denture Repair": {
"": 1
},
"Fillings": {
"": 1
},
"General Anesthesia": {
"": 1
},
"Crown Repair": {
"": 1
},
"Crown": {
"all types)": 1
},
"Root Canal": {
"all types)": 1
},
"Implants": {
"": 1
},
"Oral Surgery": {
"": 1
}
},
"coverage": {
"Member": {
"Gold": 43.08,
"Platinum": 56.96
},
"Member +Associate": [],
"Member +Spouse": [],
"Member +1": {
"Gold": 89.46,
"Platinum": 116.74
},
"Member +Family": {
"Gold": 146.36,
"Platinum": 185.08
},
"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,
"Platinum": 1
},
"outOfNetworkPercent": {
"Gold": 1,
"Platinum": 1
},
"deductibleWaived": {
"Gold": false,
"Platinum": false
},
"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": 0.6,
"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
}
}
},
"type_3": {
"inNetworkPercent": {
"Gold": 0.3,
"Platinum": 0.5
},
"outOfNetworkPercent": {
"Gold": 0.3,
"Platinum": 0.5
},
"deductibleWaived": {
"Gold": false,
"Platinum": false
},
"services": {
"Crown Repair": {
"Gold": 1,
"Platinum": 1
},
"Crown (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
}
}
}
};