Dental

Keeping you smiling

Your dental plan encourages good dental health by helping you pay for most diagnostic and preventive dental care before serious treatment is necessary.

The dental plan is provided through Blue Cross Blue Shield (BCBS) but it is not a network-based plan — you have the freedom to select the dental providers of your choice. You pay the same deductible and coinsurance regardless of the provider you choose for your care.

Here’s how it works

SERVICE	COST TO YOU
Annual Deductible (waived for diagnostic and preventive services)	$50 per individual; $150 per family
Annual Maximum (applies to all services except Orthodontia and TMJ)	$2,000 per individual
Diagnostic and Preventive Services	No cost to you
Basic Restorative Services	Plan pays 80% after deductible is met
Major Restorative Services	Plan pays 50% after deductible is met
Emergency Treatment (when necessary to ease pain or discomfort, but not treatment to cure the pain or discomfort, such as extractions or permanent fillings)	No cost to you
Orthodontia Services (coverage is limited to dependent children)	Plan pays 50% after deductible is met ($2,500 lifetime maximum per child)
Non-Surgical Treatment of Temporomandibular Joint (TMJ) Disorders	Plan pays 80% after deductible is met ($1,000 lifetime maximum per individual)