The Dental Select Copay Plan makes dental insurance easy and affordable. There are no annual maximums to track and all copayments are fixed. Plus, routine exams, cleanings, and fluoride treatments are 100% covered after a low deductible is met on all services.
Group Copay Dental Plans With no waiting periods, no annual maximums, no deductibles (for groups of 6 or more enrolled employees), and fixed copayments for covered services, Dental Select's unique Copay dental plans are the perfect combination of affordability and simplicity. Copay plans are currently available in Texas and Utah only.
This means you have a fixed copay cost for covered dental services and procedures. You can know exactly how much a service or procedure will cost before you visit the dentist with the copay schedule. The Advantage network gives you the opportunity to save with lower premiums and lower provider fees as a result of a more narrow network. Advantage Co-Pay (Utah Individual) Co-Pay & Claim Payment Sample Schedule Effective 1/1/2020 Corporate (801)262-7475 Customer Service (800)662-5851 emihealth.com CDT CDT Name Patient Co-Pay (General & Pediatric providers) In-Network Specialists Out-of-Network Claim Payment D0120 PERIODIC ORAL EVALUATION ESTABLISHED PATIENT 0 20% Discount 21. 2 American Dental Association; Dentists: 'Doctors of Oral Health', American Dental Association, Chicago, IL. 3 Based on internal analysis by MetLife. Negotiated fees refers to the fees that in-network dentists have agreed to accept as payment in full for covered services, subject to any copayments, deductibles, cost sharing and benefit maximums. Diabetes mellitus has dental implications due to increased risk of infections, poor wound healing, rapid progression of periapical pathology, xerostomia, burning mouth syndrome, and a bidirectional link with periodontal disease. Two clinical cases of patients with diabetes are discussed and their dental management described.
No Annual Maximum
There's no annual maximum on your coverage, so you can utilize whatever benefits you need, as often as you need.
Network Options
Texas and Utah residents can choose between our regional Gold and Platinum networks at enrollment.
Short Waiting Periods
Take advantage of your full benefits within one year of your coverage start date.
Fixed Copay
Dental on a budget? Copays are fixed so you'll always know what you're going to pay prior to your appointment
Discounts
Where available, discounts may be available on child and adult orthodontics, veneers, and teeth bleaching. Discount amounts may vary.
In-Network
Dental Copay Calculator
Dental Select Payment
Dental Copay Costs
FAQ
Available on our Gold or Platinum networks (Utah and Texas only).
Currently, Dental Select offers plan effective dates are on the first day of each calendar month. You may choose your effective date during the plan selection process, where you also enter your zip code and number of dependents.
Dependents can include a spouse or domestic partner and each unmarried child, from birth to age 26, who is living with you in a regular parent-child relationship and for whom you can claim an exception on your federal taxes.
Yes. EyeMed Discount Vision is included with every dental plan. This is based on applicable laws, and reduced costs may vary by doctor location. Dbeaver python.
Discount Vision and Connection Hearing are also included. This is based on applicable laws, and reduced costs may vary by doctor location.
The Copay plan is only available in Texas and Utah. Click here to download a brochure.
Your deductible applies to all services and must be fully satisfied before plan benefits take effect.
Plan Highlights
- In-network preventive care is covered at 100%
- Fixed copays for procedures make budgeting easy
- No annual maximums
- No waiting periods
- Gold and Platinum network options
Legal
EXPENSES NOT COVERED: No benefits will be paid for expenses incurred:
In all states
Dental on a budget? Copays are fixed so you'll always know what you're going to pay prior to your appointment
Discounts
Where available, discounts may be available on child and adult orthodontics, veneers, and teeth bleaching. Discount amounts may vary.
In-Network
Dental Copay Calculator
Dental Select Payment
Dental Copay Costs
FAQ
Available on our Gold or Platinum networks (Utah and Texas only).
Currently, Dental Select offers plan effective dates are on the first day of each calendar month. You may choose your effective date during the plan selection process, where you also enter your zip code and number of dependents.
Dependents can include a spouse or domestic partner and each unmarried child, from birth to age 26, who is living with you in a regular parent-child relationship and for whom you can claim an exception on your federal taxes.
Yes. EyeMed Discount Vision is included with every dental plan. This is based on applicable laws, and reduced costs may vary by doctor location. Dbeaver python.
Discount Vision and Connection Hearing are also included. This is based on applicable laws, and reduced costs may vary by doctor location.
The Copay plan is only available in Texas and Utah. Click here to download a brochure.
Your deductible applies to all services and must be fully satisfied before plan benefits take effect.
Plan Highlights
- In-network preventive care is covered at 100%
- Fixed copays for procedures make budgeting easy
- No annual maximums
- No waiting periods
- Gold and Platinum network options
Legal
EXPENSES NOT COVERED: No benefits will be paid for expenses incurred:
In all states
- for services related to, performed in conjunction with, or resulting from a non-covered procedure.
- for charges in excess of the Contracted Fee Schedule or the Usual, Customary and Reasonable rate, whichever applies.
- for any treatment program which begins prior to the date the Insured is covered under the Policy.
- for crowns, inlays and onlays on teeth that can be restored by direct placement materials.
- for the replacement of crowns, bridges, inlays, onlays or prosthetic appliances within 5 years from the date of last placement.
- for any condition covered under any Workers' Compensation Act or similar law.
- for services applied without cost by any municipality, county or other political subdivision or for which there would be no charge in the absence of insurance.
- for services that are applied toward the satisfaction of a Deductible, if any.
- for services subject to a Benefit Waiting Period.
- for charges resulting from changing from one provider to another while receiving treatment, or from receiving treatment from more than one provider for one dental procedure to the extent that the total charges billed exceed the amount incurred if one provider had performed all services.
- for Hospital facility charges for any dental procedure, including but not limited to: emergency room charges, surgical facility charges, Hospital confinement.
- for drugs or the dispensing of drugs.
- for oral hygiene instruction; plaque control; acid etch; prescription or take-home fluoride; broken appointments; completion of a claim form; OSHA/sterilization fees (Occupational Safety & Health Agency); or diagnostic photographs (except for orthodontic purposes).
- for implants (unless included in covered services); myofunctional therapy; athletic mouthguards; precision or semi-precision attachments; treatment of fractures, cysts, tumors, or lesions; maxillofacial prosthesis; orthognathic surgery; TMJ dysfunction; cleft palate; or anodontia.
- for orthodontia, unless included within the Benefit Schedule.
- for services to replace teeth that are missing (extracted or congenitally) prior to the Effective Date of the Policy. This limitation ends after 36 months of continuous coverage on the Policy. Abutment teeth will be reviewed for eligibility of prosthetic benefits.
- for composite, resin, or white fillings on posterior primary teeth. Benefits will be reduced to that of an amalgam or silver filling.
- for the replacement of a filling within 24 months of placement, unless for specific health reasons.
- for the replacement of retainers.
- for lab fees for higher metals or porcelain crowns, bridges, inlays, or onlays.
- during travel or activity outside the United States.
In Texas and Utah only Ilebygo mx3.
- for services and supplies not listed in the Benefit Schedule, not recognized as essential for the treatment of the condition according to accepted standards of practice or considered experimental, subject to the Right To Appeal provision contained in your Policy.
- for cosmetic procedures, including but not limited to veneers and bleaching of teeth and procedures performed primarily for cosmetic reasons, subject to the Right To Appeal provision contained in your Policy.
- for sealants not applied to permanent bicuspids or molars, applied at age 18 or older, applied 3 years from a previous sealant application, applied to a decayed tooth.
In all states, except Texas and Utah
- for services and supplies not listed in the Benefit Schedule, not recognized as essential for the treatment of the condition according to accepted standards of practice or considered experimental.
- for cosmetic procedures, including but not limited to veneers and bleaching of teeth and procedures performed primarily for cosmetic reasons.
- for sealants not applied to permanent bicuspids or molars, applied later than the end of the month in which a child reaches age 19, applied 3 years from a previous sealant application, applied to a decayed tooth.
This insurance does not apply to the extent that trade or economic sanctions or other laws or regulations prohibit Us from providing insurance, including, but not limited to, the payment of claims.
This insurance does not apply to the extent that trade or economic sanctions or other laws or regulations prohibit Us from providing insurance, including, but not limited to, the payment of claims.
