Employee Dental Plan (Option EPO Bronze)
Overview  |  Dental Gold Plan  |  Dental Bronze Plan  |  Vision Plan

Choose any DenteMax Network provider. Be sure there is a DenteMax network provider in your area you would be willing to use before you choose this plan.

IN-NETWORK BENEFITS ONLY (NO BENEFITS ARE AVAILABLE FOR NON-NETWORK PROVIDERS).

Monthly Rates
Single: $14.41
Employee+ One: $27.16
Family: $43.00
Coverage Type
Diagnostic & Preventive
Basic
Restorative
Orthodontic (dependents to 19)

Deductible
Calendar Year*

Maximums
Calendar Year (per member)
Lifetime (Orthodontic)

* applies to Basic & Restorative
 Percentage
100%
80%
50%
50%

Amount
$50

Amount
$1,000
$1,000
Dental Application Detail Plan Information