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Choice Dental Plan PPO $5000
Single
$58.04/mo
Single + Spouse
$116.08/mo
Single + Child(ren)
$130.60/mo
Family
$188.65/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
$42.15/mo
Single + 1
$84.30/mo
Single +2
$126.45/mo
Single + 4 up
$168.60/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
Premier PPO (high)
Single
$48.00/mo
Single + 1
$90.00/mo
Single + 2
$124.00/mo
Single + 3 & Up
$174.00/mo
Ortho
Benefits
Waiting
Plan Pays
Out of Network
Preventive
None
100%
80% up to
Plan Deductible: $75/$225
Basic
6 months
80% in-network
60% up to
Annual Maximum: $2500
Major
12 months
50% in-network
40% up to
Orthodontics: $1,250 lifetime
18 months
50% in-network
20% up to
Complete Care DHMO
Single
$17.83.00/mo
Single + 1
$35.62/mo
Family
$57.52/mo
Low Cost
Small Network
Waiting
Plan Pays
Out of Network
Office Co-Pay: $25
Preventive
None
100%
No Out Of Network
Plan Deductible: None
Basic
None
80% in-network
No Out Of Network
Annual Maximum: None
Major
None
50% in-network
No Out Of Network
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