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Dental Plan Details

Dental Health Maintenance Organization (DHMO) Plans

DHMO plans offer the highest level of coverage. There are no deductibles or annual benefit maximum and there are set copayments for services you receive.

If you choose to enroll in this plan, you must select a primary dentist participating in the DHMO network. Should you require the care of a specialist, your Primary Care Dentist (PCD) will refer you to a specialist within the DHMO network. You will not be covered for any services provided by an out-of-network dentist except in the case of an emergency.

DHMO
All about this plan:
None

Annual Deductible

Unlimited

Calendar Year Maximum

Copays vary

Basic Services

Copays vary

Major Services

Children: $2,000 copay | Adult: $2,000 copay

Orthodontic Services

Important plan documents coming soon.

DHMO Summary of Benefits and Coverage Benefit Summary
Weekly / Bi-weekly Premiums
View Rates
Employee-Only

$0.00

Employee + Spouse

$11.92

Employee + Child(ren)

$11.92

Family

$27.97