DHMO DENTAL PLANS (PRE-PAID)
PLAN TDA-A500 (Groups of 3 or more)
· Voluntary or Employer Sponsored
· 100% Coverage on Preventative/Diagnostic Services
· No Maximums or Deductibles
· Discounted Specialty Care
· Covers Pre-existing Conditions
PLAN TDA-A200S (Groups of 5 or more)
· Voluntary or Employer Sponsored
· 100% Coverage on Preventative/Diagnostic Services
· No Maximums or Deductibles
· Comprehensive Specialty Care Benefit
· Covers Pre-exiting Conditions
PLAN TDA-A200M
INDEMNITY & PPO DENTAL PLANS
TDA-COMPANION PLAN Indemnity (Groups of 3 or more)
· Voluntary
· At least 30% of all eligible employees must enroll
· Dual choice available with TDA-A500 or TDA-A200S
· Twelve-month waiting period applies to Class III Services.
CUSTOM CHOICE - I Indemnity/PPO (Groups of 3-9)
· Employer Contribution Required (50% of the Employee’s Premium)
· At Least 5 employees or 75% of All Eligible Employees
Must Enroll (whichever is greater)
· Endodontics & Periodontics in Class III
· Employees Can Receive Services From Any Dentist
· 100/90/60 In-Network, 80/80/50 Out-of-Network
· Twelve-month waiting period applies to Class III Services
CUSTOM CHOICE - II Indemnity/PPO (Groups of 10 to 24)
· Employer Contribution Required (50% of the Employee’s Premium)
· At Least 10 employees or 75% of All Eligible Employees
Must Enroll (whichever is greater)
· Endodontics & Periodontics in Class II
· Employees Can Receive Services From Any Dentist
· 100/90/60 In-Network, 100/80/50 Out-of-Network
· Twelve-month waiting period applies to Class III Services.
· Groups with more than 25 employees must be submitted for underwriting.
· Dual choice options available
· Voluntary or employer sponsored
· Dual /Triple Choice Options Available
THE DENTAL ADVANTATE III (INDIVIDUAL PLAN)
w No Maximums w No Deductibles w No Claim Forms w Reduced Fees w Covers Orthodontics (Braces)
v Employee Only -$ 56.00 v Employee + 1 - $ 86.00 v Employee + 2 or more - $120.00