Partners of Epro
| Dental Plans | PRIMESTAR® Value | PRIMESTAR® Access | PRIMESTAR® Total |
|---|---|---|---|
Cost | $23.12/month | $41.44 | $51.95 |
Deductible(per benefit year) | $50 | $50 | $50 |
Maximum Benefit (per benefit year) | $750 | Up to $2000 | Up to $2,500 |
Preventive(Type 1) Coverage | 90% → 100% | 80% - 100% | 100% |
Type 1 Benefits | Exams (2 per year) | Exams (2 per year) | Exams (2 per year) |
Basic(Type 2) Coverage | 50% → 80% | 45% → 80% | 80% → 90% |
Type 2 Benefits | Fillings | Fillings | Fillings |
Major(Type 3) Coverage | 0% → 15% | 15% → 50% | 20% → 50% |
Type 3 Benefits | Crowns | Crowns | Crowns |
Other Benefits | N/A | Increasing Maximum: $1,000 → $2,000 After 1 Year LASIK Benefit: $125 → $250/eye After 2 Years Must be 18 or older | Increasing Maximum: $2,000 → $2,500 After 1 Year Hearing Benefit: Receive $75 for eligible hearing exams Pays 50% of hearing aid up to maximum benefit Max Benefit: $200 - $300 - $400/day After Year 2 |
Preventive Plus
Type 1 Preventive procedures are not deducted from the plan’s annual maximum benefit. This saves all
of the annual benefit to help pay for more expensive Type 2 and 3 procedures.
*$50 deductible per person for Basic and Major services combined, with a maximum of three
deductibles per family.
**$750 maximum benefit per person for Basic and Major services combined.
The Maximum Allowable Charge (MAC) claim allowance is the maximum amount a network provider
may charge. If you select a network provider, you may have lower out-of-pocket costs. If you visit an
out-of-network dentist, the claim allowance is considered at the Maximum Allowable Benefit (MAB),
which is equal to the lowest contracted fee in your ZIP Code. Any difference between the plan
allowance and the dentist’s charge will be an out-of-pocket expense for you.
Ameritas
The Ameritas Dental Network is one of the nation’s largest. Network providers have agreed to charge 25-50% less than their regular rates which can lower your out-of-pocket costs. Find a Classic (PPO) network provider near you.
You can visit any dentist, in- or out-of-network. And family members do not need to visit the same provider. Use our dental cost estimator to find average procedure charges in your area. The estimates do not include network discounts or plan benefits.
