Dental Select PPO traditional plans
Here is a selection of the most popular traditional group dental plans for employers with 51+ employees. With these plans, employers pay a portion of the member’s premium. We have many other plans to consider also.
| Select PPO 1102
|
|---|
| Deductible Amount
| |
| Individual
| $50
|
| Family
| $150
|
| Calendar-year Maximum
| |
| In Network
| $1,000
|
| Out of Network
| $1,000
|
| Employee pays after deductible
|
| Preventive and Diagnostic
| |
| In Network
| 0%
|
| Out of Network
| 10%
|
| Minor Services
| |
| In Network
| 20%
|
| Out of Network
| 30%
|
| Major Services
| |
| In Network
| 50%
|
| Out of Network
| 60%
|
| Orthodontic Services
| NA
|
| Select PPO 1103
|
|---|
| Deductible Amount
| |
| Individual
| $50
|
| Family
| $150
|
| Calendar-year Maximum
| |
| In Network
| $1,500
|
| Out of Network
| $1,000
|
| Employee pays after deductible
|
| Preventive and Diagnostic
| |
| In Network
| 0%
|
| Out of Network
| 10%
|
| Minor Services
| |
| In Network
| 20%
|
| Out of Network
| 30%
|
| Major Services
| |
| In Network
| 50%
|
| Out of Network
| 60%
|
| Orthodontic Services
| NA
|
| Select PPO 2101
|
|---|
| Deductible Amount
| |
| Individual
| $50
|
| Family
| $150
|
| Calendar-year Maximum
| |
| In Network
| $1,000
|
| Out of Network
| $1,000
|
| Employee pays after deductible
|
| Preventive and Diagnostic
| |
| In Network
| 0%
|
| Out of Network
| 10%
|
| Minor Services
| |
| In Network
| 20%
|
| Out of Network
| 30%
|
| Major Services
| |
| In Network
| 50%
|
| Out of Network
| 60%
|
| Orthodontic Services
| NA
|
| Select PPO 3101
|
|---|
| Deductible Amount
| |
| Individual
| $50
|
| Family
| $150
|
| Calendar-year Maximum
| |
| In Network
| $1,000
|
| Out of Network
| $1,000
|
| Employee pays after deductible
|
| Preventive and Diagnostic
| |
| In Network
| 0%
|
| Out of Network
| 10%
|
| Minor Services
| |
| In Network
| 20%
|
| Out of Network
| 30%
|
| Major Services
| |
| In Network
| 50%
|
| Out of Network
| 60%
|
| Orthodontic Services
| |
| In Network
| 50%
|
| Out of Network
| 60%
|
| Orthodontic Lifetime Max
| $1,000
|
| Select PPO 3102
|
|---|
| Deductible Amount
| |
| Individual
| $50
|
| Family
| $150
|
| Calendar-year Maximum
| |
| In Network
| $1,500
|
| Out of Network
| $1,000
|
| Employee pays after deductible
|
| Preventive and Diagnostic
| |
| In Network
| 0%
|
| Out of Network
| 10%
|
| Minor Services
| |
| In Network
| 20%
|
| Out of Network
| 30%
|
| Major Services
| |
| In Network
| 50%
|
| Out of Network
| 60%
|
| Orthodontic Services
| |
| In Network
| 50%
|
| Out of Network
| 60%
|
| Orthodontic Lifetime Max
| $1,500
|
| Select PPO 4101
|
|---|
| Deductible Amount
| |
| Individual
| $50
|
| Family
| $150
|
| Calendar-year Maximum
| |
| In Network
| $1,000
|
| Out of Network
| $1,000
|
| Employee pays after deductible
|
| Preventive and Diagnostic
| |
| In Network
| 0%
|
| Out of Network
| 10%
|
| Minor Services
| |
| In Network
| 20%
|
| Out of Network
| 30%
|
| Major Services
| |
| In Network
| 50%
|
| Out of Network
| 60%
|
| Orthodontic Services
| |
| In Network
| 50%
|
| Out of Network
| 60%
|
| Orthodontic Lifetime Max
| $1,000
|