CODAC 2024 Guide To Your Benefits
VOLUNTARY DENTAL PLANS
FIND A DENTIST
To find an Ameritas provider in your area, visit the website at www.ameritas.com.
The Ameritas dental plan is a PPO that offers coverage in and out-of-network. It is to your advantage to utilize an in-network dentist in order to achieve the greatest cost savings. If you choose to go out-of-network, you will be responsible for any cost exceeding Ameritas’s negotiated fees, plus any deductible and coinsurance associated with your procedure.
Click on “Find a Health Provider”
•
Click on “Find a Dental Provider Online”
•
Enter your ZIP Code, City or State
•
Select “Classic (PPO)”
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• Click “Submit” for a comprehensive directory of dentists
Dependents are eligible to age 19; Eligible to age 24 if unmarried full-time student.
In - Network
Low Plan
High Plan
Annual Maximum
$1,500
$2,500
Deductible - (individual/family) Waived for preventive
$50
$50
Preventive
100%
100%
Basic
100%
100%
Major
60%
60%
Orthodontia Deductible *Child Only
None
None
Orthodontia Coinsurance *Child Only
50%
50%
Orthodontia Maximum *Child Only
$1,500
$2,500
Dental Rewards Program
Additional accumulation toward annual maximum
FUSION Benefit - Participants have 90 days from the date of service to file a claim.
Up to $100 may be used for eye exams, frames, lenes, contact lenses
Low Plan
High Plan
RATES
Employee Per Month
Employee Per Paycheck
Employee Per Month
Employee Per Paycheck
Employee Only
$24.71
$11.40
$52.40
$24.18
Employee + Spouse
$50.89
$23.49
$107.17
$49.46
Employee + Children
$57.80
$26.68
$116.81
$53.91
Employee + Family
$83.95
$38.75
$171.52
$79.16
*Orthodontia benefit only applies to children. Must be banded by age 17 and completed by age 19. Please visit www.ameritas.com.
Click here to learn about your dental benefits with Ameritas
Improving Health, Transforming Lives.
CODAC Health, Recovery & Wellness | 2024 Employee Benefits Guide 9
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