Dental – Tables
Dental Plan Comparison
Core Dental Plan
In-Network
Out-of-Network
Deductible
Individual: $50; Family: $150
Individual: $100; Family: $150
Annual maximum
$1,500/person
$1,500/person
Preventive care
100% covered
100% covered
Basic services
20% coinsurance after deductible
50% coinsurance after deductible
Major services
50% coinsurance after deductible
50% coinsurance after deductible
Orthodontia
Not covered
Not covered
Core Dental Plan Plus
In-Network
Out-of-Network
Deductible
Individual: $0; Family: $0
Individual: $0; Family: $0
Annual maximum
$3,500/person
$3,500/person
Preventive care
100% covered
100% covered
Basic services
10% coinsurance after deductible
20% coinsurance after deductible
Major services
35% coinsurance after deductible
50% coinsurance after deductible
Orthodontia
50% coinsurance; deductible waived; lifetime maximum benefit: $3,500/person
50% coinsurance; deductible waived; lifetime maximum benefit: $3,500/person