Dental Select PPO Plus voluntary plans
Here is a selection of the most popular voluntary group dental plans for employers with 51+ employees. Employers can
choose voluntary coverage without making a financial contribution. Looking for a plan that’s not shown here?
Give us a
call.
Select PPO Plus V-1102
|
---|
Deductible Amount
| |
Individual
| $50
|
Family
| $150
|
Calendar-year Maximum
| |
In Network
| $1,000
|
Out of Network
| $1,000
|
Employee pays after deductible
|
Preventive and Diagnostic
| |
PPO
| 0%
|
PPP
| 0%
|
Out of Network
| 20%
|
Minor Services
| |
PPO
| 20%
|
PPP
| 20%
|
Out of Network
| 30%
|
Major Services
| |
PPO
| 50%
|
PPP
| 50%
|
Out of Network
| 60%
|
Orthodontic Services
| NA
|
Waiting Period
|
Major Services
| 6 months
|
Select PPO Plus V-1103
|
---|
Deductible Amount
| |
Individual
| $50
|
Family
| $150
|
Calendar-year Maximum
| |
In Network
| $1,500
|
Out of Network
| $1,000
|
Employee pays after deductible
|
Preventive and Diagnostic
| |
PPO
| 0%
|
PPP
| 0%
|
Out of Network
| 20%
|
Minor Services
| |
PPO
| 20%
|
PPP
| 20%
|
Out of Network
| 30%
|
Major Services
| |
PPO
| 50%
|
PPP
| 50%
|
Out of Network
| 60%
|
Orthodontic Services
| NA
|
Waiting Period
|
Major Services
| 6 months
|
Select PPO Plus V-2101
|
---|
Deductible Amount
| |
Individual
| $50
|
Family
| $150
|
Calendar-year Maximum
| |
In Network
| $1,000
|
Out of Network
| $1,000
|
Employee pays after deductible
|
Preventive and Diagnostic
| |
PPO
| 0%
|
PPP
| 0%
|
Out of Network
| 20%
|
Minor Services
| |
PPO
| 20%
|
PPP
| 20%
|
Out of Network
| 30%
|
Major Services
| |
PPO
| 50%
|
PPP
| 50%
|
Out of Network
| 60%
|
Orthodontic Services
| NA
|
Waiting Period
|
Major Services
| 6 months
|
Select PPO Plus V-3101
|
---|
Deductible Amount
| |
Individual
| $50
|
Family
| $150
|
Calendar-year Maximum
| |
In Network
| $1,000
|
Out of Network
| $1,000
|
Employee pays after deductible
|
Preventive and Diagnostic
| |
PPO
| 0%
|
PPP
| 0%
|
Out of Network
| 20%
|
Minor Services
| |
PPO
| 20%
|
PPP
| 20%
|
Out of Network
| 30%
|
Major Services
| |
PPO
| 50%
|
PPP
| 50%
|
Out of Network
| 60%
|
Orthodontic Services
| |
PPO
| 50%
|
PPP
| 50%
|
Out of Network
| 60%
|
Orthodontic Lifetime Max
| $1,000
|
Waiting Period
|
Major Services
| 6 months
|
Select PPO Plus V-3102
|
---|
Deductible Amount
| |
Individual
| $50
|
Family
| $150
|
Calendar-year Maximum
| |
In Network
| $1,500
|
Out of Network
| $1,000
|
Employee pays after deductible
|
Preventive and Diagnostic
| |
PPO
| 0%
|
PPP
| 0%
|
Out of Network
| 20%
|
Minor Services
| |
PPO
| 20%
|
PPP
| 20%
|
Out of Network
| 30%
|
Major Services
| |
PPO
| 50%
|
PPP
| 50%
|
Out of Network
| 60%
|
Orthodontic Services
| |
PPO
| 50%
|
PPP
| 50%
|
Out of Network
| 60%
|
Orthodontic Lifetime Max
| $1,500
|
Waiting Period
|
Major Services
| 6 months
|
Select PPO Plus V-4101
|
---|
Deductible Amount
| |
Individual
| $50
|
Family
| $150
|
Calendar-year Maximum
| |
In Network
| $1,000
|
Out of Network
| $1,000
|
Employee pays after deductible
|
Preventive and Diagnostic
| |
PPO
| 0%
|
PPP
| 0%
|
Out of Network
| 20%
|
Minor Services
| |
PPO
| 20%
|
PPP
| 20%
|
Out of Network
| 30%
|
Major Services
| |
PPO
| 50%
|
PPP
| 50%
|
Out of Network
| 60%
|
Orthodontic Services
| |
PPO
| 50%
|
PPP
| 50%
|
Out of Network
| 60%
|
Orthodontic Lifetime Max
| $1,000
|
Waiting Period
|
Major Services
| 6 months
|
Select PPO Plus V-4103
|
---|
Deductible Amount
| |
Individual
| $50
|
Family
| $150
|
Calendar-year Maximum
| |
In Network
| $2,000
|
Out of Network
| $1,500
|
Employee pays after deductible
|
Preventive and Diagnostic
| |
PPO
| 0%
|
PPP
| 0%
|
Out of Network
| 10%
|
Minor Services
| |
PPO
| 20%
|
PPP
| 20%
|
Out of Network
| 30%
|
Major Services
| |
PPO
| 50%
|
PPP
| 50%
|
Out of Network
| 60%
|
Orthodontic Services
| |
PPO
| 50%
|
PPP
| 50%
|
Out of Network
| 60%
|
Orthodontic Lifetime Max
| $2,000
|
Waiting Period
|
Major Services
| 6 months
|
Select PPO Plus V-4104
|
---|
Deductible Amount
| |
Individual
| $50
|
Family
| $150
|
Calendar-year Maximum
| |
In Network
| $2,000
|
Out of Network
| $1,500
|
Employee pays after deductible
|
Preventive and Diagnostic
| |
PPO
| 0%
|
PPP
| 0%
|
Out of Network
| 10%
|
Minor Services
| |
PPO
| 20%
|
PPP
| 20%
|
Out of Network
| 30%
|
Major Services
| |
PPO
| 50%
|
PPP
| 50%
|
Out of Network
| 60%
|
Orthodontic Services
| |
PPO
| 50%
|
PPP
| 50%
|
Out of Network
| 60%
|
Orthodontic Lifetime Max
| $2,000
|
Waiting Period
|
Major Services
| 6 months
|
Select PPO Plus V-4105
|
---|
Deductible Amount
| |
Individual
| $25
|
Family
| $75
|
Calendar-year Maximum
| |
In Network
| $2,500
|
Out of Network
| $2,000
|
Employee pays after deductible
|
Preventive and Diagnostic
| |
PPO
| 0%
|
PPP
| 0%
|
Out of Network
| 10%
|
Minor Services
| |
PPO
| 20%
|
PPP
| 20%
|
Out of Network
| 30%
|
Major Services
| |
PPO
| 50%
|
PPP
| 50%
|
Out of Network
| 60%
|
Orthodontic Services
| |
PPO
| 50%
|
PPP
| 50%
|
Out of Network
| 60%
|
Orthodontic Lifetime Max
| $2,000
|
Waiting Period
|
Major Services
| 6 months
|