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
|