Dental

DENTAL

The following chart summarizes the benefits for the dental plan offered to all eligible employees.
 

Dental HMO



Dental PPO (High)



Dental PPO (Low)


 Showing In-Network Only 
Network NameDHMO Series NetworkSun Life Dental Network Sun Life Dental Network
Annual Deductible Individual / Family$0 / $0$50 / $150$50 / $150
Annual Maximum Individual / FamilyNone$2,000$1,500
Preventive & Diagnostic Services
Oral Exam / X-rays / Cleanings$00%*0%*
Basic Services
Fillings / Simple Extractions
Periodontic Treatment (Deep Cleaning)
Endodontic Treatment (Root Canals)
$0 for most services;
Refer to the copay schedule
10% after deductible10% after deductible
Major Services
Crowns / Dentures / BridgesRefer to the copay schedule40% after deductible40% after deductible
Orthodontia
Lifetime MaximumN / A$1,000 per child$1,000 per child
Children only; up to age 26Not Covered50% coinsurance*50% coinsurance*

Why Choose Dental Coverage?

Brushing and flossing are great, but regular exams catch dental issues early before they become more expensive and difficult to treat.
That’s where dental insurance comes in. Dental insurance makes it easier and less expensive to get the care you need to maintain good oral health.

Questions?