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Dental Plan Details

Preferred Provider Organization (PPO) Plans

PPO plans provide you with the freedom to use a dentist of your choice or access the PPO network of dentists. If you use a dentist participating in the PPO network, your out-of-pocket expenses will be reduced, as fees are subject to a negotiated rate. If you use an out-of-network provider, you are responsible for paying the difference in cost between the out-of-network provider’s charges and the allowed amount. It is recommended that any services in excess of $300 be sent to Aetna for pre-determination before services are rendered.

DPPO
All about this plan:
$25 (I) / $75 (F)

Annual Deductible

$2,000/person

Calendar Year Maximum

You pay 0% after deductible

Basic Services

You pay 30% after deductible

Major Services

You pay 50% after deductible up to $1,500/person maximum | Covers children only

Orthodontic Services

Important plan documents coming soon.

DPPO Summary of Benefits and CoverageBenefit Summary
Weekly / Bi-weekly Premiums
View Rates
Employee-Only

$46.58

Employee + Spouse

$107.90

Employee + Child(ren)

$107.90

Family

$195.00