RELAC

For further information on these Supplemental Benefit Plans please call the Plans Administrator, Pacific Group Agencies at (800) 511-9065 or Email:
RELAC@pgagencies.com

Supplemental Benefits
Endorsed Exclusively for RELAC Members and
Administered by Pacific Group Agencies, Inc.

Dental Plan

$1,500 Supplement to Your LACERA PPO Dental Plan

Research has shown a direct connection between oral health and other health issues such as heart attacks and strokes. Yet, many seniors fail to maintain proper dental health and the #1 reason is due to the cost. This supplemental dental insurance helps with the costs associated with making sure you are healthy.

With dental work becoming more expensive every day, many retirees discover too late that their LACERA provided PPO dental plan does not cover all their costs. This supplemental Ameritas plan coordinates with your LACERA provided PPO plan, to help cover your out-of-pocket costs. It also covers procedures that may not be covered by your LACERA plan, for example, implants or additional cleanings above the number available under your primary insurance plan.

This plan pays a set dollar benefit for each procedure and allows you to see any dentist. Therefore, you will know up front exactly how much this insurance will pay! This full service plan covers over 360 dental procedures from the routine preventative, such as cleanings and x-rays, to the major, such as crowns, implants, and dentures.

There is no waiting period for any covered service provided you are covered under a LACERA dental plan. This plan can also be used as a full service, standalone plan should you or your dependent not have other coverage.

Every retiree / spouse / dependent enrolled in this plan will each receive a $1,500 maximum benefit per calendar year. There is a $50 deductible per person, once per calendar year.

The following is a list of generic procedure types and the maximum benefit that Ameritas will pay toward that procedure.

Procedure Type

Maximum Coverage

Oral Evaluations

$30

X-Rays

$62

Prophylaxis (Cleaning)

$41

Resin Filling

$105

Root Canal

$428

Extraction of Impacted Tooth

$170

Porcelain Onlay

$414

Periodontal Maintenance

$47

Scaling and Root Planing

$93

Porcelain Crown

$441

Denture

$484

Denture Repair

$78

Biopsy

$203

Anesthesia

$130

Post & Core

$138

Surgical Placement of Implant

$1,500

Gingivectomy

$182

Excision of Lesion or Cyst

$205

Abutment

$518

Desensitizing Resin

$55

Note: Procedure Type has been highly condensed and modified into “plain English” for simplification. The Maximum Coverage is the maximum benefit that Ameritas will pay for that procedure. In some cases, a less costly procedure will be substituted by your dentist. It is highly recommended that you request a Predetermination of Benefits prior to starting any work.

Ameritas Dental Monthly Premium

Retiree Only

$42

Retiree + Spouse / Domestic Partner or Child

$79

Retiree + Family

$118

 

 

Ameritas Dental Monthly Premium

Retiree Only

$42

Retiree + Spouse / Domestic Partner or Child

$79

Retiree + Family

$118