- 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
$29.67/month
$52.26/month
Member +1
$56.90/month
$100.53/month
Member +Family
$97.76/month
$172.82/month
Deductible
$50.00 per year/person
$50.00
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
$500.00
$500.00
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 70%
Covers 80%
Extractions
Covers 70% (simple)
Covers 40% (complex)
Covers 80% (simple)
Fillings
Covers 70%
Covers 80%
Major
Crown Repair
Covers 40%
Covers 50%
Crown (all types)
Covers 40%
Covers 50%
Dentures (all types)
Covers 40%
Covers 50%
Root Canal (all types)
Covers 40%
Covers 50%
Extractions
Covers 70% (simple)
Covers 40% (complex)
Covers 80% (simple)
General Anesthesia
Covers 40%
Covers 50%
Implants
Covers 40%
Covers 50%
Periodontics
Covers 40%
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 September, 2023 to 31 August, 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 70%",
"Platinum": "Covers 80%"
},
"Extractions": {
"Gold": "Covers 70% (simple)<\/span>
Covers 40% (complex)<\/span>",
"Platinum": "Covers 80% (simple)<\/span>"
},
"Fillings": {
"Gold": "Covers 70%",
"Platinum": "Covers 80%"
},
"Crown Repair": {
"Gold": "Covers 40%",
"Platinum": "Covers 50%"
},
"Crown (all types)": {
"Gold": "Covers 40%",
"Platinum": "Covers 50%"
},
"Dentures (all types)": {
"Gold": "Covers 40%",
"Platinum": "Covers 50%"
},
"Root Canal (all types)": {
"Gold": "Covers 40%",
"Platinum": "Covers 50%"
},
"General Anesthesia": {
"Gold": "Covers 40%",
"Platinum": "Covers 50%"
},
"Implants": {
"Gold": "Covers 40%",
"Platinum": "Covers 50%"
},
"Periodontics": {
"Gold": "Covers 40%",
"Platinum": "Covers 50%"
}
},
"plans": {
"Gold": {
"inEffect": "2023-09-01T00:00:00",
"marketingInEffect": "2023-07-27T00:00:00",
"outOfEffect": "2025-08-31T00:00:00",
"marketingOutOfEffect": "2025-07-28T00:00:00",
"policyNumber": "351030",
"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": 150,
"rewardsMaxRollover": 1000,
"waitingPeriod": null,
"notes": "includes a $10\/visit copay for Type 1 services and includes eyecare with a $100 maximum",
"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": 29.67,
"coverage": "Member",
"areaName": null
},
{
"rate": 56.9,
"coverage": "Member +1",
"areaName": null
},
{
"rate": 97.76,
"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": 0.7,
"outOfNetworkPercent": 0.7,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
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{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Denture Repair"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Extraction (simple)"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Fillings"
}
]
},
{
"dentalType": null,
"inNetworkPercent": 0.4,
"outOfNetworkPercent": 0.4,
"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": "Extraction (complex) "
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "General Anesthesia"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Implants"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Periodontics (gum disease)"
}
]
}
],
"inEffectDate": "2023-09-01",
"inEffectTimestamp": 1693544400,
"outOfEffectDate": "2025-08-31",
"outOfEffectTimestamp": 1756616400,
"marketingInEffectDate": "2023-07-27",
"marketingInEffectTimestamp": 1690434000,
"inEffectDateCalc": "2023-07-27",
"marketingOutOfEffectDate": "2025-07-28",
"marketingOutOfEffectTimestamp": 1753678800,
"startTimestamp": 1730437200,
"isInEffect": true,
"marketingIsInEffect": true,
"planLevelText": "Essential Coverage",
"frequencyText": "per year & per person",
"frequencyTextAlt": "per year\/person",
"planCoverage": [
{
"rate": 29.67,
"coverage": "Member",
"areaName": null
},
{
"rate": 56.9,
"coverage": "Member +1",
"areaName": null
},
{
"rate": 97.76,
"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": 0.7,
"outOfNetworkPercent": 0.7,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
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{
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"mceamount": 0,
"frequencyType": null,
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{
"frequency": 0,
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"frequencyType": null,
"name": "Extraction (simple)"
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{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Fillings"
}
],
"covers": "Covers 70%"
},
{
"dentalType": null,
"inNetworkPercent": 0.4,
"outOfNetworkPercent": 0.4,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
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{
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{
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{
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{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Extraction (complex) "
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "General Anesthesia"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Implants"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Periodontics (gum disease)"
}
],
"covers": "Covers 40%"
}
],
"waived": [],
"waivedLabeled": false
},
"Platinum": {
"inEffect": "2023-09-01T00:00:00",
"marketingInEffect": "2023-07-27T00:00:00",
"outOfEffect": "2025-08-31T00:00:00",
"marketingOutOfEffect": "2025-07-28T00:00:00",
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"cleaningsPerPeriod": 2,
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"orthoEliminationPeriod": 0,
"examFrequency": 2,
"examPeriod": "Benefit Period",
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"orthoLifetimeMax": 0,
"orthoCoInsurance": 0,
"annualPlanMax": 1500,
"outOfNetAnnualPlanMax": 1500,
"rewardsThreshold": 500,
"rewardsAnnualRollover": 250,
"ppobonus": 150,
"rewardsMaxRollover": 1000,
"waitingPeriod": null,
"notes": "includes eyecare with a $100 maximum",
"deductible": 50,
"familyDeductibleMax": 150,
"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": 52.26,
"coverage": "Member",
"areaName": null
},
{
"rate": 100.53,
"coverage": "Member +1",
"areaName": null
},
{
"rate": 172.82,
"coverage": "Member +Family",
"areaName": null
}
],
"dentalPlanRateBandState": [],
"dentalPlanType": [
{
"dentalType": null,
"inNetworkPercent": 1,
"outOfNetworkPercent": 1,
"deductibleWaived": true,
"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": [],
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"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Denture Repair"
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{
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"mceamount": 0,
"frequencyType": null,
"name": "Extraction (simple)"
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{
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"frequencyType": null,
"name": "Fillings"
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]
},
{
"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": "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": "Implants"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Periodontics (gum disease)"
}
]
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],
"inEffectDate": "2023-09-01",
"inEffectTimestamp": 1693544400,
"outOfEffectDate": "2025-08-31",
"outOfEffectTimestamp": 1756616400,
"marketingInEffectDate": "2023-07-27",
"marketingInEffectTimestamp": 1690434000,
"inEffectDateCalc": "2023-07-27",
"marketingOutOfEffectDate": "2025-07-28",
"marketingOutOfEffectTimestamp": 1753678800,
"startTimestamp": 1730437200,
"isInEffect": true,
"marketingIsInEffect": true,
"planLevelText": "Most Comprehensive",
"frequencyText": "per year & per person",
"frequencyTextAlt": "per year\/person",
"planCoverage": [
{
"rate": 52.26,
"coverage": "Member",
"areaName": null
},
{
"rate": 100.53,
"coverage": "Member +1",
"areaName": null
},
{
"rate": 172.82,
"coverage": "Member +Family",
"areaName": null
}
],
"planType": "dental",
"types": [
{
"dentalType": null,
"inNetworkPercent": 1,
"outOfNetworkPercent": 1,
"deductibleWaived": true,
"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": 0.8,
"outOfNetworkPercent": 0.8,
"deductibleWaived": false,
"dentalPlanTypeIncentive": [],
"dentalPlanTypeProcedure": [
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Denture Repair"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Extraction (simple)"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Fillings"
}
],
"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": "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": "Implants"
},
{
"frequency": 0,
"mceamount": 0,
"frequencyType": null,
"name": "Periodontics (gum disease)"
}
],
"covers": "Covers 50%"
}
],
"waived": [
1
],
"waivedLabeled": [
"Preventative"
]
}
},
"procedures": {
"Routine Cleanings": {
"": 1
},
"Routine Oral Exams": {
"": 1
},
"X-Rays": {
"all types)": 1
},
"Denture Repair": {
"": 1
},
"Extractions": {
"simple)": 1,
"complex)": 1
},
"Fillings": {
"": 1
},
"Crown Repair": {
"": 1
},
"Crown": {
"all types)": 1
},
"Dentures": {
"all types)": 1
},
"Root Canal": {
"all types)": 1
},
"General Anesthesia": {
"": 1
},
"Implants": {
"": 1
},
"Periodontics": {
"": 1
}
},
"coverage": {
"Member": {
"Gold": 29.67,
"Platinum": 52.26
},
"Member +Associate": [],
"Member +Spouse": [],
"Member +1": {
"Gold": 56.9,
"Platinum": 100.53
},
"Member +Family": {
"Gold": 97.76,
"Platinum": 172.82
},
"Member +Children": []
},
"annualPlanMax": {
"Gold": 1000,
"Platinum": 1500
},
"outOfNetAnnualPlanMax": {
"Gold": 1000,
"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": 1,
"Platinum": 1
},
"deductibleWaived": {
"Gold": false,
"Platinum": true
},
"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": 0.7,
"Platinum": 0.8
},
"outOfNetworkPercent": {
"Gold": 0.7,
"Platinum": 0.8
},
"deductibleWaived": {
"Gold": false,
"Platinum": false
},
"services": {
"Denture Repair": {
"Gold": 1,
"Platinum": 1
},
"Extractions": {
"Gold": 1,
"Platinum": 1
},
"Fillings": {
"Gold": 1,
"Platinum": 1
}
}
},
"type_3": {
"inNetworkPercent": {
"Gold": 0.4,
"Platinum": 0.5
},
"outOfNetworkPercent": {
"Gold": 0.4,
"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
},
"Extractions": {
"Gold": 1
},
"General Anesthesia": {
"Gold": 1,
"Platinum": 1
},
"Implants": {
"Gold": 1,
"Platinum": 1
},
"Periodontics": {
"Gold": 1,
"Platinum": 1
}
}
}
};