Dental Select PPO Plus voluntary plans
Here is a selection of the most popular voluntary group dental plans for employers with 51+ employees. Employers can choose voluntary coverage without making a financial contribution. Looking for a plan that’s not shown here? Give us a call.
| Select PPO Plus V-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
| |
| PPO
| 0%
|
| PPP
| 0%
|
| Out of Network
| 20%
|
| Minor Services
| |
| PPO
| 20%
|
| PPP
| 20%
|
| Out of Network
| 30%
|
| Major Services
| |
| PPO
| 50%
|
| PPP
| 50%
|
| Out of Network
| 60%
|
| Orthodontic Services
| NA
|
| Waiting Period
|
| Major Services
| 6 months
|
| Select PPO Plus V-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
| |
| PPO
| 0%
|
| PPP
| 0%
|
| Out of Network
| 20%
|
| Minor Services
| |
| PPO
| 20%
|
| PPP
| 20%
|
| Out of Network
| 30%
|
| Major Services
| |
| PPO
| 50%
|
| PPP
| 50%
|
| Out of Network
| 60%
|
| Orthodontic Services
| NA
|
| Waiting Period
|
| Major Services
| 6 months
|
| Select PPO Plus V-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
| |
| PPO
| 0%
|
| PPP
| 0%
|
| Out of Network
| 20%
|
| Minor Services
| |
| PPO
| 20%
|
| PPP
| 20%
|
| Out of Network
| 30%
|
| Major Services
| |
| PPO
| 50%
|
| PPP
| 50%
|
| Out of Network
| 60%
|
| Orthodontic Services
| NA
|
| Waiting Period
|
| Major Services
| 6 months
|
| Select PPO Plus V-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
| |
| PPO
| 0%
|
| PPP
| 0%
|
| Out of Network
| 20%
|
| Minor Services
| |
| PPO
| 20%
|
| PPP
| 20%
|
| Out of Network
| 30%
|
| Major Services
| |
| PPO
| 50%
|
| PPP
| 50%
|
| Out of Network
| 60%
|
| Orthodontic Services
| |
| PPO
| 50%
|
| PPP
| 50%
|
| Out of Network
| 60%
|
| Orthodontic Lifetime Max
| $1,000
|
| Waiting Period
|
| Major Services
| 6 months
|
| Select PPO Plus V-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
| |
| PPO
| 0%
|
| PPP
| 0%
|
| Out of Network
| 20%
|
| Minor Services
| |
| PPO
| 20%
|
| PPP
| 20%
|
| Out of Network
| 30%
|
| Major Services
| |
| PPO
| 50%
|
| PPP
| 50%
|
| Out of Network
| 60%
|
| Orthodontic Services
| |
| PPO
| 50%
|
| PPP
| 50%
|
| Out of Network
| 60%
|
| Orthodontic Lifetime Max
| $1,500
|
| Waiting Period
|
| Major Services
| 6 months
|
| Select PPO Plus V-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
| |
| PPO
| 0%
|
| PPP
| 0%
|
| Out of Network
| 20%
|
| Minor Services
| |
| PPO
| 20%
|
| PPP
| 20%
|
| Out of Network
| 30%
|
| Major Services
| |
| PPO
| 50%
|
| PPP
| 50%
|
| Out of Network
| 60%
|
| Orthodontic Services
| |
| PPO
| 50%
|
| PPP
| 50%
|
| Out of Network
| 60%
|
| Orthodontic Lifetime Max
| $1,000
|
| Waiting Period
|
| Major Services
| 6 months
|
| Select PPO Plus V-4103
|
|---|
| Deductible Amount
| |
| Individual
| $50
|
| Family
| $150
|
| Calendar-year Maximum
| |
| In Network
| $2,000
|
| Out of Network
| $1,500
|
| Employee pays after deductible
|
| Preventive and Diagnostic
| |
| PPO
| 0%
|
| PPP
| 0%
|
| Out of Network
| 10%
|
| Minor Services
| |
| PPO
| 20%
|
| PPP
| 20%
|
| Out of Network
| 30%
|
| Major Services
| |
| PPO
| 50%
|
| PPP
| 50%
|
| Out of Network
| 60%
|
| Orthodontic Services
| |
| PPO
| 50%
|
| PPP
| 50%
|
| Out of Network
| 60%
|
| Orthodontic Lifetime Max
| $2,000
|
| Waiting Period
|
| Major Services
| 6 months
|
| Select PPO Plus V-4104
|
|---|
| Deductible Amount
| |
| Individual
| $50
|
| Family
| $150
|
| Calendar-year Maximum
| |
| In Network
| $2,000
|
| Out of Network
| $1,500
|
| Employee pays after deductible
|
| Preventive and Diagnostic
| |
| PPO
| 0%
|
| PPP
| 0%
|
| Out of Network
| 10%
|
| Minor Services
| |
| PPO
| 20%
|
| PPP
| 20%
|
| Out of Network
| 30%
|
| Major Services
| |
| PPO
| 50%
|
| PPP
| 50%
|
| Out of Network
| 60%
|
| Orthodontic Services
| |
| PPO
| 50%
|
| PPP
| 50%
|
| Out of Network
| 60%
|
| Orthodontic Lifetime Max
| $2,000
|
| Waiting Period
|
| Major Services
| 6 months
|
| Select PPO Plus V-4105
|
|---|
| Deductible Amount
| |
| Individual
| $25
|
| Family
| $75
|
| Calendar-year Maximum
| |
| In Network
| $2,500
|
| Out of Network
| $2,000
|
| Employee pays after deductible
|
| Preventive and Diagnostic
| |
| PPO
| 0%
|
| PPP
| 0%
|
| Out of Network
| 10%
|
| Minor Services
| |
| PPO
| 20%
|
| PPP
| 20%
|
| Out of Network
| 30%
|
| Major Services
| |
| PPO
| 50%
|
| PPP
| 50%
|
| Out of Network
| 60%
|
| Orthodontic Services
| |
| PPO
| 50%
|
| PPP
| 50%
|
| Out of Network
| 60%
|
| Orthodontic Lifetime Max
| $2,000
|
| Waiting Period
|
| Major Services
| 6 months
|