DENTAL PLANS (GROUP & VOLUNTARY) 

Dental Plans give employers a cost-effective way to increase the value of their benefits program. Employees think of dental coverage as an important benefit. You can use it as a tool to recruit and retain good, skilled workers.

Both passive and active preferred provider (PPO) plan designs are available. A passive PPO provides the same benefit levels in- and out-of-network, lets employees use any dental provider they choose, and offers enhanced benefits for those who use a network provider1. Some plans include orthodontia benefits that cover both children and adults.

Dental PlansPlan 1Plan 2Plan 3Plan 4Plan 5Plan 6
In / Out
of Network
Calendar Deductible:
Individual
Family
$50
x 3
$50
x 3
$50
x 3
$75
x 3
$50
x 3
$25 / $50
x 3
Maximum Benefit:
Per Insured,
Per Calendar Year
$1,500$1,000$1,000$750$750$1,000
Preventive Care:
Oral Exams,
Routine Teeth
Cleaning, Fluoride
Treatments, X-Rays
100%100%100%100%100%*100% / 80%
Basic Care:
Basic Fillings,
Repair of Bridges
and Dentures,
Recementing of
Crowns and Bridges,
Simple Extractions,
Periodontal Therapy
80%*80%*80%*70%*50%*90%* / 70%*
Major Care:
Crowns, Implants,
Surgical Extractions,
Bridges, Root Canal
Therapy, Dentures
50%*50%*50%*50%*60%* / 40%*
Orthodontic Services:
(for children and adults)
Exams, Cephalometric
Film, Orthodontic
Appliance
50%*50%*50%*
Lifetime Benefit:
Per Insured:
$1,000$1,000$750
  * After Deductible

 1Number of Participating Dentist Locations by State


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ACTON Mobile Industries

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