In-Network / Out - of - Network
TDA PPO / Vantage Choice is a defined reimbursement plan, that puts you as the consumer in the driver’s seat. How the plan works, we provide you with a set dollar amount per procedure. This amount minus our contracted rate that we have set with the in-network dentist will provide you with your reimbursements. If you go out - of - network please remember, the plan does give you some reimbursements.
Vantage Choice
TDA / Dental Companion PPO / INDEMNITY (b)
Summary
of
Benefits
TDA PPO / Vantage Choice is a defined reimbursement plan, that puts you as the consumer in the driver’s seat. How the plan works, we provide you with a set dollar amount per procedure. This amount minus our contracted rate that we have set with the in-network dentist will provide you with your reimbursements.
If you go out of network please remember, the plan does give you some reimbursement. However you do not receive the discounted contracted rate that we have set up with our in-network dentist, and also do not forget the dentist can balance bill for the difference. please see plan certificate.
Minimum enrollment age is 18, unless accompanied by an adult.
$50 per person per calendar year for
basic and major services
80 - 100%
average savings(*) (d) (c)
Preventive
Office visit, cleaning, oral exam and x-rays
70 - 80%
average savings ( * ) (d) (c)
Two-Party
$75.95
$90.20
Family
$124.50
$139.60
Monthly
Monthly Rate
over age 65+
40 - 60%
average savings ( * ) (d) (c)
Basic
Simple extractions and fillings
Major
Crowns, bridge, dentures, inlays, periodontics,
endodontics and oral surgery
Deductible
$1,000 per person
Annual Maximum
Single
$39.50
$47.40
dentalCOMPANION PPO / INDEMINTY PLAN
This percentage is based on an average savings please see plan certificate for
reimbursement amount about the plan benefits. TDA PPO Network
Additional Information
Payment Method
All plans allow monthly payments by Visa, Master Card, Discover or automatic bank account withdrawals.
There is a one-time enrollment fee of $10.00 for all applications.
All applications received before the 18th of the month start on the 1st of the following month.
Automatic payment come out on the 20th of each month.
All plans are a 12 month contract.
TDA / Vantage Choice Plan insured by Companion Life Insurance Company. (b) Vantage Care Plan insured and underwritten by Total Dental Administrators. For complete fee schedule please refer to the plan certificate (c) This percentage is based on and average savings please see plan certificate for reimbursement amount see the plan certificate for more information. (*) see copay schedule. PPO reimbursement , see the Mid-Plan co-pay on the plan certificate. (d) All payments made by the plan are based on the network fee schedule TDA PPO network / DHMO network. For complete details of the coverage please refer to the plan certificate. Plans may vary by state.
25% discount at participation TDA providers
No Out of Network Benefits
12 month waiting period on major services
Waiting Periods
Orthodontics
In-Network Orthodontist only