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Dental Coverage

2024-25 Dental Plans (September 1st, 2024 - August 31st, 2025)
2023-24 Dental Plans (September 1st, 2023 - August 31st, 2024)



Available Dental Plans through Renaissance Dental
Below are In Network benefits. Please see Plan Summary for Non Network benefits.
Please click here to find In Network Providers.

Elite Enhanced Essential
Deductible $50 / $150 None None
Maximum Annual Benefit $1,500 $1,000 $1,000
Exams / Cleanings / X-Ray Covered 100% Covered 100% Covered 100%
Basic Services
Fillings, Non-Surgical Extractions, Periodontic Maintenance
80% / 20% AD 80% / 20% 50% / 50%
Major Services
Bridges, Crowns, Endodontics, Oral Surgery
50% / 50% AD 50% / 50% 25% / 75%
Orthodontia
Child up to 19
50% None None
Maximum Lifetime Benefit - Orthodontia $1,000 None None

Plan Summary and Premiums
Elite
Enhanced
Essential


Need to register and access benefit information?
Renaissance Web Account Instructions
Instructions for your first Dental Appointment!


Available Dental Plans through Dental Select (Effective through 8/31/2024)
Below are In Network benefits. Please see Plan Summary for Non Network benefits.
Please click here to find In Network Providers.

Dental Premiums

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