2026 plans

PPO dental plans

Plan Office visit copay Deductible Benefit period program maximum
Dental PPO Value 75 $15 routine exam None $1,000 per member per benefit period
Dental PPO Basic None $50 per member
$150 per family
$1,500 per member per benefit period
Dental PPO Classic 1500 None $50 per member
$150 per family
$1,500 per member per benefit period
Dental PPO Classic 2000 None $50 per member
$150 per family
$2,000 per member per benefit period
Dental PPO Choice 1500 None $50 per member
$150 per family
$1,500 per member per benefit period
Dental PPO Choice 2000 None $50 per member
$150 per family
$2,000 per member per benefit period
Dental PPO Plus 1500 None $50 per member
$150 per family
$1,500 per member per benefit period
Dental PPO Plus 2000 None $50 per member
$150 per family
$2,000 per member per benefit period
Dental EPO Copay Essential None $25 per member
$75 per family
$2,000 per member per benefit period

Select dental plans

Plan Office visit copay Deductible Benefit period program maximum
Dental Select 705x $10 None None

2025 plans

2025 plans

PPO dental plans

Plan Office visit copay Deductible Benefit period maximum
Dental PPO Value 75 $15 routine exam None $1,000 per member 
per benefit period
Dental PPO Basic None $50 per member 
$150 per family
$1,500 per member 
per benefit period
Dental PPO Classic 1500 None $50 per member 
$150 per family
$1,500 per member 
per benefit period
Dental PPO Classic 2000 None $50 per member 
$150 per family
$2,000 per member 
per benefit period
Dental PPO Choice 1500 None $50 per member 
$150 per family
$1,500 per member 
per benefit period
Dental PPO Choice 2000 None $50 per member 
$150 per family
$2,000 per member 
per benefit period
Dental PPO Plus 1500 None $50 per member 
$150 per family
$1,500 per member 
per benefit period
Dental PPO Plus 2000 None $50 per member 
$150 per family
$2,000 per member 
per benefit period
Dental EPO Choice copay Essential None $25 per member 
$75 per family
$2,000 per member 
per benefit period

Select dental plans

Plan Office visit copay Deductible Benefit period maximum
Dental Select 705x $10 None

None