Your Plan Now | |||
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Classic Plan | Ascent Plan | Premium Plan | |
Monthly Premiumii Eastern WA |
$45.45 | $54.45 | $62.75 |
Monthly Premiumii Western WA |
$52.30 | $62.60 | $72.10 |
Plan Year Maximum Per Person |
$1000 | 1st Year, 2nd Year, 3rd Year $1000/$1250/$1500 |
$2000 |
Exams and Cleanings | 80% | 100% | 100% (3 of each) |
Periodontal Maintenance | 50%iii | 1st Year, 2nd Year, 3rd Year 50%/60%/70%iii |
50% (3 cleanings)i |
Fillings | 50%iii | 1st Year, 2nd Year, 3rd Year 50%/60%/70%iii |
80%i |
i. i. This is only a partial summary of benefits for these dental plans. Please refer to the plan policy for full details of benefits, exclusions and limitations. Monthly premiums shown are examples of monthly rates for subscriber-only in Washington, effective January 2024. Plan designs and rates are subject to change. There may be limits on how many times you can use certain services in a year. Monthly premiums may be different based on plan choice, age, location, number of people insured, their age and relationship to you.
ii. Individual 12-month contracted rate.
iiiDeductible may apply.