Dental Supplement

With dental work becoming more expensive every day, many people discover too late that their dental plan does not cover all costs. Unfortunately, many people fail to get appropriate dental care because they can’t afford it and that leads to poor oral health which can cause health issues such as heart attacks and strokes.

This dental plan coordinates with other PPO plans and is designed so that you should have little to no out of pocket costs for covered dental procedures.

Every covered member and dependent each has a robust $1,500 calendar year benefit. Enrollees also receive a unique Dental Rewards® “savings account” benefit which allows members to bank some of their unused funds for later use. Any enrollee who uses less than $750 of their annual benefit will automatically have up to $400 per year of their calendar year maximum banked for use in future years.

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 PPO dental plan. However, if you have a missing tooth, this plan, like all dental insurance, will not cover a replacement. This plan can also be used as a full-service, standalone plan should you or your dependent not have other coverage.

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

Description

Network Dentist

Calendar Year Benefit Maximum – All ServicesThis is the maximum amount the insurance carrier will pay out for your services during the calendar year. 

$1,500

Calendar Year Deductible

Waived for Preventative

$50 / Person

Preventative Services

Cleaning, Oral Exam, Bitewing X-Ray, & Fluoride.

70%

Basic Services

Filling, Simple Extraction, Periodontal Maintenance, Panoramic X-Ray, Denture Repair & Reline, Recement, Biopsy, Sealant, & Emergency Pain Relief.

70%

Major Services

A 12-month waiting period will be applied unless proof of current coverage is submitted with enrollment form.

Crown, Implant, Periodontic, Endodontic, Root Canal, Bridge, Denture, Complex Extraction, Anesthesia, Bone Augmentation, Inlay Restoration, Onlay Restoration, Crown Repair, Bridge Repair, & Space Maintainer.

70%

Surgical Implant Services.

Implant and related implant servicesNote: Abutment supported crowns fall under Major Services Category.

$500

Ameritas Dental PPO Monthly Premium

Member Only

$49

Member + Spouse or Child (1 Dependent)

$97

Member + Family (2 or more Dependents)

$135

*Benefit levels are based on the average rate a dentist in your zip code would charge for that procedure.

**Coverage is available for the member, and you may also insure your spouse/domestic partner, and/or your dependent children up to age 26. Children aged 26 and older are eligible if they are permanently disabled and the member lists them as a dependent on their tax return Grandchildren are only eligible if you have full legal custody.