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

Choose any licensed dentist and receive UCR reimbursement based on the 3 digit zip code where services are provided; or choose a DenteMax provider (if available in your area) and receive a discounted fee before the claim is processed. Either way you can receive the same level of coverage and valuable benefits from any licensed dentist any where in the US.

Monthly Rates
Single: $22.01
Employee+ One: $41.50
Family: $65.69
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