Four Plan Options

Find the one that’s right for you! Review available 2024 options below. If you want coverage to start in 2025, please refer to the rates hereWhen you're ready to enroll, visit our enrollment site here:

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All of our plans include Right Start 4 Kids (RS4K), where kids 12 and under receive coverage at 100% for all services covered under the plan when an in-network dentist is seen. Learn more by choosing a plan below.

 

Select how many people will be covered under your dental plan

Platinum Plan

family coverage

$212.00
per month
Annual Maximum $2,500
Preventative (exams, cleanings) 100%
Basic (fillings, non-surgical extractions) 80%
Major (root canals, crowns, gum disease treatment) 70%
Implants 70%
Select

Gold Plan

family coverage

$133.47
per month
Annual Maximum $1,500
Preventative (exams, cleanings) 100%
Basic (fillings, non-surgical extractions) 80%
Major (root canals, crowns, gum disease treatment) 50%
Implants N/A
Select

Silver Plan

family coverage

$111.64
per month
Annual Maximum $1,000
Preventative (exams, cleanings) 100%
Basic (fillings, non-surgical extractions) 50%
Major (root canals, crowns, gum disease treatment) 50%
Implants N/A
Select

Bronze Plan

family coverage

$99.36
per month
Annual Maximum $1,000
Preventative (exams, cleanings) 100%
Basic (fillings, non-surgical extractions) 80%
Major (root canals, crowns, gum disease treatment) N/A
Implants N/A
Select

Certain services listed above have frequencies and limitations.

Exclusions and Limitations. For a complete list of exclusions and limitations, refer to your contract. Common non-covered services (exclusions) include the following: services which are available from any Federal or State government agency, or similar entity; services for injuries compensable under an automobile policy or worker’s compensation or similar employer coverage; cosmetic services (unless stated otherwise); services started prior to coverage; services that are not completed; administrative fees such as missed appointments; temporary services and procedures; duplicate dentures; prescription drugs, premedications and relative analgesia, including hospital, healthcare facility or medical emergency room charges; laboratory charges; anesthesia for restorative dentistry; preventive control programs; injuries or disease intentionally self-inflicted or occurring during or as a result of participation in riots or civil disobedience of any form, acts of war, or criminal activity; appliances or restorations to restore occlusion, splinting, equilibration, or replace tooth structure lost by attrition; restorations in conjunction with overdenture; services provided outside of the United States or Canada; dental implants (except for the Platinum plan); services related to TMJ; and services, supplies or treatments not specifically listed as covered in the member’s contract. Common limitations include: the least costly professionally accepted treatment to achieve reasonable functionality; costs of procedures necessary to prevent or eliminate oral disease and for appliances or restorations to replace missing teeth as allowed by the plan; frequency and combined service limitations related to restorations, individual crowns, prosthetic appliances, and periodontal procedures as identified within the contract; and other frequency, age or contractual limitations as specified. Additionally, for implant procedures, benefits are allowed for a bilateral partial if teeth are missing in both quadrants of the same arch. See Benefit Booklet for additional details on exclusions and limitations.

Don't live in Kansas? Visit our national website if you're looking for individual dental insurance in another state.

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