DENTAL BENEFIT DESCRIPTION
Stellar Advantage PPO
MET LIFE
$2,000
$1,500
Yes*
No
Yes
$50/$150**
$50/$150
100%
80%
50%
50% of PDP fees up to $1,500/person
*SEE PLAN FOR DETAILS
**WAIVED FOR PREVENTIVE
S200/ S500
COMP BENEFITS
293
129
Discounted
25% Discount off Doctors
Doctor can charge Full Fee
FeeLimited for base (2751), noble (2752) and high noble (2750)
Unlimited for noble (2752) and high noble (2750)
Can add $30/per crown
Can add $125/ per crown
PREMIUM
STELLAR ADVANTAGE PPO
$20.74
$22.16
$62.83
$66.24
$17.29
$18.47
$52.36
$55.20
$15.96
$17.05
$48.33
$50.95
S200
S500
$7.17
$5.61
$7.67
$18.72
$13.50
$19.33
$5.98
$4.68
$6.39
$15.60
$11.25
$16.11
$5.52
$4.32
$5.90
$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.