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Choice Dental Plan PPO $5000
Single
$29.49/mo
Single + Spouse
$58.98/mo
Single + Child(ren)
$66.35/mo
Family
$95.85/mo
Top Selling
Plan
Waiting
Plan Pays
Major
Annual Maximum: $5000
None
10% First Year, 60% After
Basic
Plan Deductible: None
None
50% First Year, 80% After
Preventive
Office Co-Pay: $25
None
100%
Out of Network
Pays the Same as
in-network subject to balance billing.
see plan details for
more information
* For detailed benefits see Plan certificate by clicking this link
Delta Dental PPO Premium Plans
Single
$40.53/mo
Single + 1
$81.06/mo
Single +2
$109.00/mo
Single + 4 up
$164.91/mo
Largest
Network
Waiting
Plan Pays
Office Co-Pay: $0
Preventive
None
100%
Plan Deductible: $50/150
Basic
6 month
80% in-network
Annual Maximum: $2000
Major
12 month
50% in-network
Out of Network
Pays the Same as
in-network subject to balance billing.
see plan details for
more information
* For detailed benefits see Plan certificate by clicking this link
Choice PPO (high)
Single
$31.00/mo
Single + 1
$58.00/mo
Single + 2
$76.00/mo
Single + 4 up
$129.00/mo
Single + 3
$94.00/mo
Ortho
Benefits
Waiting
Plan Pays
Out of Network
Office Co-Pay: $25
Preventive
None
100%
100%
Plan Deductible: $25/$75
Basic
6 months
80% in-network
70% out-network
Annual Maximum: $1000
Major
18 months
50% in-network
50% out-network
* For detailed benefits see Plan certificate by clicking this link
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