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Dental Benefits For Everyone.

Select Plan Basic

 

 

The Select Plan Basic1 offers great value and extended 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 Basic 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 Basic benefits include

 
$13 CHARGE for routine semiannual cleanings
 
 
ADDITIONAL CLENAINGS covered for diabetics and 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 BASIC:
KIDS
By enrolling in the Select Plan Basic, 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 $13×2=$26 $178
Filling (3 Surface/Silver) $217 $64 $153
Crown (Porcelain/Metal) $1,299 $523 $776
Total Spent in Annual Premiums $176
Total Spent in Office Visit Fees ($10/visit for 3 visits)4 $30
TOTALS $1,966 $845 $1,121

 

ADDITIONAL SAVINGS ON MAJOR PROCEDURES
service avg cost3 you pay you save
Root Canal (Anterior Tooth) $747 $341 $406
Extraction, Erupted Tooth $170 $69 $101
Complete Denture $1,785 $697 $1,088
Perio Scaling/Root Planing $247 $109 $138

 

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.