Your Plan Now | |||
---|---|---|---|
Family Advantage Plan | Enhanced Plan | Plus Ortho Plan | |
Monthly Premiumii Eastern WA |
$52.20 | $50.85 | $57.10 |
Monthly Premiumii Western WA |
$60.00 | $58.50 | $65.60 |
Plan Year Maximum Per Person |
$1000 | $1000 | $1500 |
Shared Maximum Benefit | $250 per person up to $1250 | None | $250 per person up to $1250 |
Surgical Extractionsiii | Not Covered | Not Covered | 50% |
Occlusal/Athletic Mouthguard | Not Covered | Not Covered | 50% |
Orthodonticsiv | Not Covered | Not Covered | 50% |
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.
iii. Includes wisdom teeth.
iv. $1500 lifetime maximum, 12-month waiting periods (without current orthodontia coverage).