Available Dental Plans through Dental Select
Below are In Network benefits. Please see Plan Summary for Non Network benefits.
Please click here to find In Network Providers.
| Platinum Co-Insurance | Platinum Co-Pay | Gold Co-Pay | |
| Deductible | $50 Single / $150 Family | None | None |
| Maximum Annual Benefit | $1,000 Max Rewards (see Max Rewards Program explanation below) |
Unlimited | Unlimited |
| Coinsurance | Carrier Pays / Member Pays See Amounts Below |
NA | NA |
| Preventive & Diagnostic Services Routine Exams, Cleanings (2 PCY), Topical Fluoride, X-Rays |
Covered 100% | Covered 100% | Covered 100% |
| Basic Services Fillings, Extractions, Oral Surgery |
80 / 20 AD | Fixed Co-Pays See plan Summary |
Fixed Co-Pays See plan Summary |
| Major Services Crowns, Bridges, Dentures, Periodontics, Endodontics |
12 Month Waiting Period 50 / 50 AD |
Fixed Co-Pays See plan Summary |
Fixed Co-Pays See plan Summary |
| Maximum Lifetime Benefit - Orthodontia | $1,000 Per Individual | None | None |
| Orthodontic Services Dependents up to age 19 |
12 Month Waiting Period 50 / 50 AD |
No Benefit Discounts May Apply |
No Benefit Discounts May Apply |
MaxRewards Program
Increases are automatically applied on
the employee's effective date each year.
Year 1: Starting Max of $1,000
Year 2: +$100 ($1,100)
Year 3: +$200 ($1,300)
Year 4: +$300 ($1,600)
Year 5: +$400 ($2,000)
Plan Summary's:
2023-24 Dental Plans
Platinum Co-Insurance Plan
Platinum Co-Pay Plan
Gold Co-Pay Plan
Need to register and access benefit information?
Dental Select Web Account Instructions