We have two great plan options available to you, both plans are identical with one very important variation- How Out of Network Dentists are Paid. The High Plan provides full access to any provider you choose, regardless of the Network, and will provide full benefits provided your dentist charges within what 90% of dentists in your area charge (90% UCR). The Low plan is best if you can use a network provider, if you do go out of network, you can expect to pay overage fees. When using a Network Provider the Plans are Identical.
PPO: DentalGuard Preferred
GROUP DENTAL INSURANCE
| Employees choose one plan option |
Option 1: HIGH PPO Monthly Premiums |
Option 2: LOW MAC Monthly Premiums |
| Employee | $53.57 | $36.99 |
| Employee & 1 Dependent | $89.18 | $61.64 |
| Employee & 2+ Dependents | $143.98 | $102.30 |
PLAN SERVICES
| In-Network | Out-of-Network | |
| Deductible | $50 | |
| Period | Calendar Year | |
| Family Limit | 3 per family | |
| Waived For | Preventive | Preventive |
| Annual Maximum | $5,000 | Maximum for In-Network and Out-of-Network are inclusive |
| Claim Payment Basis | Negotiated Fee Schedule | Negotiated Fee Schedule (low), 90% UCR (high) |
| Network | Dental Guard Preferred | |
| Coinsurance - Preventive | 100% | 100% |
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| Coinsurance - Basic | 80% | 80% |
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| Coinsurance - Major | 50% | 50% |
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| Coinsurance - Orthodontia | 50% for children (Orthodontia in Progress - covered) | 50% for children (Orthodontia in Progress - covered) |
| Orthodontia Lifetime Maximum. | $1,000 | $1,000 |
| Dependent Age Limits | To Age 26 | |
| Waiting Periods | None | |
View the Links Below To Learn More About Our Dental Plans
Enroll in Our Dental Plan
Group application for CCA Global Partners Dental & Vision Plans