Dental


Good dental care improves your overall health. Our dental plans help you maintain a healthy smile through regular preventive dental care and offers coverage to fix problems as soon as they occur. When choosing a plan, consider your anticipated dental needs, as well as the network, deductibles, copays, and services each plan covers. Review your dental plan options to determine which plan is best for you and your family. 

 
PPO Dental Plan
With the PPO dental plan, you may visit any dentist of your choice. Keep in mind, you’ll receive the highest coverage when you use an in-network provider. If you visit an out-of-network provider, you will not benefit from discounted rates and will pay more out-of-pocket for services. Many dentists outside the provider network will require you to pay for services upfront and submit forms for reimbursement from your plan.  


 

Dental Low PPO Plan



Dental High PPO Plan

 

Plan Features

In-Network

Out-of-Network

In-Network

Out-of-Network

Deductible*

$25/3X Individual

$75/3X Individual

$0

$25/3X Individual

Preventive care

100%

100%

100%

100%

Basic / Major services

100% after deductible / 

60% after deductible

100% after deductible / 

60% after deductible

100% / 100%

90% after deductible /

60% after deductible

One cleaning every 6 months

Yes

Yes

Yes

Yes

Benefit maximum*

$1,500

$1,500

$2,000

$2,000

Orthodontia

Not covered

Not covered

$2,500; 50%

$2,500/ 50%

*Dental deductibles and benefit maximums reset on the calendar year (1/1-12/31).


Supplemental Information:






Contact
Group #: L07933

Phone: 800-888-8288
Website: www.anthem.com