| <<Back to Plans |
(PPO) |
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| Individual: | $34.00/mo | ||
| Individual +1: | $63.00/mo | ||
| Family: | $86.00/mo | ||
| Enroll Now | |||
| Deductible: | $50 Annual | ||
| Max. Annual Benefit: | $1,500.00 | ||
| Cleaning: |
Plan Pays: 100% Waiting Period: 0 Months |
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| X-ray: |
Plan Pays: 80% Waiting Period: 6 Months |
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| Filling: |
Plan Pays: 80% Waiting Period: 6 Months |
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| Root Canal: |
Plan Pays: 50% Waiting Period: 12 Months |
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| Crown: |
Plan Pays: 50% Waiting Period: 12 Months |
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| Oral Surgery: |
Plan Pays: 80% Waiting Period: 6 Months |
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| Extractions: |
Plan Pays: 80% Waiting Period: 6 Months |
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| Implants: |
Plan Pays: N/A Waiting Period: N/A |
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| Implants Included: | No | ||
| Orthodontia: | Yes - See Brochure for Details | ||
| Vision Benefit: | No | ||
| Plan Highlights: | Quotes based on ages 25-59. Family rate based on 1 dependent. | ||
| Application Fee: | $0.00 | ||
| Effective Date: | 12/01/2024 | ||
| Dentist Search: | Dentist Search | ||
| Plan Brochure: | View Plan Brochure | ||
| Enroll Now |
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