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Dental Benefits For Everyone.

Select Plan PREMIUM

 

 

The Select Plan Premium1 offers the best value and coverage for your money.
Dentists from our exclusive Select Plan network provide most services and charge according to the Description of Benefits and Member Copayments.
Over 250 procedures are covered! Upon sign up, the complete list of covered procedures will be sent to you with your membership card.
 
no waiting periods, annual maximum limits, preauthorization requirements or deductibles.
 
Copayments for the Select Plan Premium are paid directly to your dentist at the time of service.
If specialty care is required, your dentist will refer you to a participating specialist who will provide care at a 25% discount.

Select Plan premium benefits include

 
NO CHARGE for routine semiannual cleanings
 
 
ADDITIONAL CLEANING covered for diabetics or expecting mothers
    ORTHODONTICS (adults and children)
 
 
    FIXED FEES for dental procedures
 
 
    DISCOUNT on all implant services

 

"NO-CHARGE" PROCEDURES
account for over 65% of dental services most frequently performed for adults, and 90% of the most frequently performed services for children.2

 

EXTENSIVE CARE FEES ARE
70% LOWER
THAN USUAL & CUSTOMARY CHARGES
(SUCH AS FILLINGS, CROWNS, DENTURES, ROOT CANALS, PERIODONTAL CARE, ORAL SURGERY, IMPLANT SERVICES, ETC.)
SELECT PLAN PREMIUM:
KIDS
By enrolling in the Select Plan Premium, dependents under the age of 19 will automatically be enrolled in our pediatric dental plan. Review covered procedures.
 
ANNUAL SAVINGS ON THE MOST COMMONLY PERFORMED DENTAL PROCEDURES.3
The example below is based on an individual subscriber (age 30) and includes how much you may pay in office visits, annual premiums and copayments.

service avg cost3 you pay you save
Comprehensive Oral Exam $85 $0 $85
Complete Series X-rays $161 $26 $135
Adult Cleaning (Includes 2 per year) $102×2=$204 $0 $204
Filling (3 Surface/Silver) $217 $58 $159
Crown (Porcelain/Metal) $1,299 $495 $804
Total Spent in Annual Premiums $225
Total Spent in Office Fees ($10/visit for 3 visits)4 $30
TOTALS $1,966 $834 $1,132

 

ADDITIONAL SAVINGS ON MAJOR PROCEDURES
service avg cost3 you pay you save
Root Canal (Anterior Tooth) $747 $325 $422
Extraction, Erupted Tooth $170 $63 $107
Complete Denture $1,785 $664 $1,121
Perio Scaling/Root Planing $247 $105 $142

 

1 Managed care plan with exclusive network, fixed member copayments, no annual maximum dollar limits, no waiting periods and no deductibles.
2 Dominion National - based on annual review of utilization data.
3 Average costs based on the Context4Healthcare's 80th percentile fee information. Based on zip 220. Average costs vary based on region.
4 Assumes oral exam, X-rays, cleaning and filling occur in the same visit and crown requires two visits. Also assumes first crown treatment and cleaning occur in the same visit.