Individual and Family Dental Plansi
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High maximum, three periodontal maintenance cleanings, and policy lifetime deductible. |
Orthodontic benefits such as braces and aligners installed by DMD or DDS. |
No waiting period and coverage that increases over the first two years you renew. |
100% coverage on most preventive care services and 50% on most major procedures. |
Most affordable plan that covers preventive care, fillings, and non-surgical extractions. |
|
---|---|---|---|---|---|
Monthly Premium Eastern WA |
$64.65ii |
$58.80ii |
$56.10ii |
$52.35ii |
$31.45ii |
Monthly Premium Western WA |
$74.25ii |
$67.55ii |
$64.50ii |
$60.25ii |
$36.25ii |
Plan Year Maximum |
$2000 |
$1500 |
1st Yr, 2nd Yr, 3rd Yr |
$1000 |
$1000 |
|
None |
$250 per person up to $1250 |
None |
None |
None |
Deductible |
$100 Policy Lifetime |
$50 |
$50 |
$50 |
None |
Office Visit Copay |
None |
None |
None |
None |
$15 |
Preventive Care |
100% |
100% |
100% |
100% |
100% cleanings and exams |
Fillings |
80% |
50% |
1st Yr, 2nd Yr, 3rd Yr |
50% |
50%iv |
Crowns |
50%v |
50%v |
50%v |
50%v |
Not Covered |
Root Canal |
50% |
50% |
50% |
50% |
Not Covered |
Implants |
50% |
50% |
50% |
50% |
Not Covered |
Non-Surgical Extractions |
50% |
50% |
50% |
50% |
50% |
Surgical Extractions |
50% |
50% |
Not Covered |
Not Covered |
Not Covered |
Periodontal Maintenance |
50%viii |
50% |
1st Yr, 2nd Yr, 3rd Yr |
50% |
Not Covered |
Orthodontics |
Not Covered |
50%ix |
Not Covered |
Not Covered |
Not Covered |
Annual Contract |
Yes |
Yes |
Yes |
Yes |
Yes |
Waiting Period |
May Apply |
May Applyxi |
None |
May Apply |
May Apply |
Premium PlanHigh maximum, three periodontal maintenance cleanings, and lifetime policy deductible. Monthly Premium |
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Plus Ortho PlanOrthodontic benefits such as braces and aligners installed by DMD or DDS. Monthly Premium |
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Ascent PlanNo waiting period and coverage that increases over the first two years you renew. Monthly Premium |
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Enhanced Plan100% coverage on most preventive care services and 50% on most major procedures. Monthly Premium |
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Basic PlanMost affordable plan that covers preventive care, fillings, and non-surgical extractions. Monthly Premium |
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