Plan Comparisions

DENTAL BENEFIT DESCRIPTION

Stellar Advantage PPO

MET LIFE

  Annual Maximum Benefits (Additional Calendar Benefits-up to $3,500)

$2,000

$1,500

 
  Calendar Benefits - up to $3,500

Yes*

No

 
  Rollover Benefit

Yes

No

 
  Prenatal

Yes

No

 
  Annual Deductible-Employee/Family

$50/$150**

$50/$150

 
  Preventive

100%

100%

 
  Basic Services- space Maintainers-unlateral (up to age19) / Sealants (up to age 19)*

80%

80%

 
  Basic Services - Amalgams (2surface) / Periodontics maintenance

80%

80%

 
  Orthodontia

50%

50% of PDP fees
up to $1,500/person

 
  Major Services (Oral Surgery, Endodontics, Periodontics, Prosthodontics)

50%

50%

 

*SEE PLAN FOR DETAILS

**WAIVED FOR PREVENTIVE

DENTAL BENEFIT DESCRIPTION

S200/ S500

COMP BENEFITS

  Number of covered procedures

293

129

 
  Has Roster

No

Yes

 
  Has Capitation

No

Yes

 
  Dentist paid on Preventive

Yes

No

 
  Sealants-Charged to Member

No

Yes

 
  Cosmetic Procedures

Discounted

No

 
  Teeth Whitening

Discounted

No

 
  ADA Code not on Schedule

25% Discount off Doctors

Doctor can charge Full Fee

 
  Crown Fees

Fee
Limited for base (2751),
noble (2752) and high
noble (2750)

Unlimited for noble (2752) and
high noble (2750)

 
  6 or more crown/bridge in same treatment plan

Can add $30/per crown

Can add $125/ per crown

 
 

PREMIUM

STELLAR ADVANTAGE PPO

MET LIFE

  20 Bi-weekly premiums*

 

 

 
  Employee

$20.74

$22.16

 
  Employee & Family

$62.83

$66.24

 
  24 Bi-weekly premium

 

 

 
  Employee

$17.29

$18.47

 
  Employee & Family

$52.36

$55.20

 
  26 Bi-weekly premium

 

 

 
  Employee

$15.96

$17.05

 
  Employee & Family

$48.33

$50.95

 

DENTAL BENEFIT DESCRIPTION

S200

S500

COMP BENEFITS

  20 Bi-weekly premiums*

 

 

 

  Employee

$7.17

$5.61

$7.67

  Employee & Family

$18.72

$13.50

$19.33

  24 Bi-weekly premium

 

 

 

  Employee

$5.98

$4.68

$6.39

  Employee & Family

$15.60

$11.25

$16.11

  26 Bi-weekly premium

 

 

 

  Employee

$5.52

$4.32

$5.90

  Employee & Family

$14.40

$10.38

$14.87

*ONLY AFFECTS 20 BI-WEEKLY MEMBERS: THESE ARE THE STANDARD RATES FOR 2008 AND 2009. DUE TO THE SHORTENED 8 BI-WEEKLY PAYMENT CYCLE THE PREMIUMS WILL BE SLIGHTLY HIGHER FOR 2008 BECAUSE YOUR BENEFITS WILL START JULY 1, 2008.