What You’ll Pay For Your Dental Care
Select a type of plan to find out how much you’ll pay.
No DeductibleEdit Benefit
No Annual Benefit LimitEdit Benefit
$350 Individual Out-of-Pocket Maximum (child only)Edit Benefit
$700 Family Out-of-Pocket Maximum (2 or more children only)Edit Benefit
$0 Office CopayEdit Benefit
No Waiting Period for Children
|Diagnostic and Preventive (includes x-rays, exams, cleaning and sealants)||Free|
|Amalgam Filling: One Surface||$25|
|Root Canal: Molar||$300|
|Gingivectomy, Per Tooth||$50|
|Extraction: Single Tooth, Exposed Root or Erupted||$65|
|Extraction: Complete Bony||$160|
|Crown: Porcelain With Metal||$300|
|Medically Necessary Orthodontia||$350 for children
Not covered for adults
Ready to care for your health?
Need help applying?
You can get help from a certified enroller right away. It’s always free and confidential. Talk to someone about your options and have them guide you through the process. You can enroll in person, by phone or online.
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