typical cost for an adult
no coverage
PPO Plan
$72
$0
$47
$290
$116*
$140
$115
$12*
$576
$230*
$912
$365*
Subtotal
$2,152
$723
You Would Save
$1,429
* based on In-network providers with the deductible having been satisfied
typical cost for a child
$31
$100
$148
$109
$44*
$460
$44
$416
Increased Calendar Year Maximum to $2000
No Waiting Periods
Freedom to go to any dentist
Most Diagnostic and Preventive care at No Charge
Prenatal care included
Oral Cancer Screenings included
Dental Benefit Description
PPO
$16.91
$30.20
$49.81
$14.09
$25.17
$41.51
$13.01
$23.23
$38.32
