Retiree Dental Plan
Overview  |  Dental 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.

Rates

Monthly Bank Draft

Annual Pay
Single: $ 24.20 $ 276.00
Employee+ One: $ 45.60 $ 520.00
Family: $ 72.26 $ 824.00
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
Enrollment Instructions  |  Dental Application Detail Plan Information