PLAN: Equitable Dental Plan
UID: Equitable Dental Plan
Category: Dental
Type: None
Marketing Name: Equitable Dental
Average Price: $65.64
Short Description: A flexible PPO dental plan with coverage for preventive, basic, and major services, plus child orthodontia in higher tiers. Choose any dentist, with the best savings in-network.
Long Description: The Equitable Dental PPO Plan offers comprehensive dental coverage with access to both in-network and out-of-network providers. Preventive care is covered at 100% across all tiers, while basic and major services are covered at varying coinsurance levels depending on the plan tier (Low, Mid, or High). Annual benefit maximums range from $1,000 to $3,000, and child orthodontia is included in the Mid and High plans. In-network providers offer significant savings through discounted contracted rates, giving members flexibility and value.

PRICING:
  Coverage 4: $103.18
  Coverage 3: $75.62
  Coverage 2: $55.68
  Coverage 1: $28.11

DETAILS:

COVERAGE:
  Coinsurance - In Network: 100% – Preventive care (like cleanings, exams, and X-rays).80% – Basic care (like fillings and simple extractions).50% – Major care (like crowns, dentures, and root canals).
  Coinsurance - Out of Network: 100% – Preventive care (like cleanings, exams, and X-rays).80% – Basic care (like fillings and simple extractions).50% – Major care (like crowns, dentures, and root canals).
  Missing Tooth Clause - In Network: Pre-existing missing teeth not covered
  Missing Tooth Clause - Out ofNetwork: Pre-existing missing teeth not covered
  Annual Individual Maxium Benefit - In Network: 1000
  Annual Individual Maxium Benefit - Out of Network: 1000
  Annual Individual / Family Deductible - In  Network: $50 deductible per person For a family, you only have to pay it for 3 people max (so $150 total), even if more are covered and preventive services are free.
  Annual Individual / Family Deductible - Out of Network: $50 deductible per person For a family, you only have to pay it for 3 people max (so $150 total), even if more are covered and preventive services are free.
  Reimbursement  (how much the insurance company pays thef or care) - In Network: Agreed Rate
  Reimbursement  (how much the insurance company pays thef or care) - Out of Network: 	Fixed Coverage Amount
  Alternative Benefit (If two treatments would fix the problem, the plan pays for the less expensive one) - In Network: Included
  Alternative Benefit (If two treatments would fix the problem, the plan pays for the less expensive one) - Out of Network: Included

BASICSERVICES:
  Simple Extractions - In Network: 80%
  Simple Extractions - Out of Network: 80%
  Periodontal Maintenance - In Network: 80%
  Periodontal Maintenance - Out of Network: 80%
  Emergency Palliative Treatment - In Network: 80%
  Complete Series/ Panoramic X-Rays - In Network: 80%
  Emergency Palliative Treatment - Out of Network: 80%
  Complete Series/ Panoramic X-Rays - Out of Network: 80%
  Basic Restorative Services (amalgam, composite resin, acrylic, synthetic or plastic fillings) - In Network: 80%
  Basic Restorative Services (amalgam, composite resin, acrylic, synthetic or plastic fillings) - Out of Network: 80%

MAJORSERVICES:
  Bridges - In Network: 50%
  Bridges - Out of Network: 50%
  Oral Surgery - In Network: 50%
  Bitewing X-Rays - In Network: 50%
  Oral Surgery - Out of Network: 50%
  Bitewing X-Rays - Out of Network: 50%
  Periodontal Surgery - In Network: 50%
  Inlays/Onlays/Crowns - In Network: 50%
  Surgical Endodontics - In Network: 50%
  Periodontal Surgery - Out of Network: 50%
  Inlays/Onlays/Crowns - Out of Network: 50%
  Non-Surgical Endodontics - In Network: 50%
  Non-Surgical Periodontal - In Network: 50%
  Surgical Endodontics - Out of Network: 50%
  Non-Surgical Endodontics - Out of Network: 50%
  Non-Surgical Periodontal - Out of Network: 50%
  Surgical Extractions and Removal of Impacted Teeth - In Network: 80%
  Surgical Extractions and Removal of Impacted Teeth - Out of Network: 50%
  Dentures – complete, partial, overdenture (upper and lower) - In Network: 50%
  Dentures – complete, partial, overdenture (upper and lower) - Out of Network: 50%

PREVENTIVESERVICES:
  Periodic Oral Evaluation - In Network: 100%
  Periodic Oral Evaluation - Out of Network: 100%
  Comprehensive Oral Evaluation - In Network: 100%
  Comprehensive Oral Evaluation - Out of Network: 100%
  Limited Oral Evaluation (problem focused) - In Network: 100%
  Limited Oral Evaluation (problem focused) - Out of Network: 100%