2022 HMO Dental Plan Summary


Availaible in the following states: CA, CO, FL, IL, IN, MI, MO, NY, NJ, OH, TX

In-Network Deductible (Individual/Family)

No Decuctible


In-Network Annual Maximum

Unlimited

Preventive Services: 

No Charge 

Basic Services (fillings, root canal, periodontal, extractions, oral surgery): 

White Fillings - $0

Root Canal - $140

Periodontal - $30/quad

Implant - $1,050

Major Services (crowns, dentures, bridges, general anesthesia): 

Crown - $95

Extraction - $70

Orthodontics:

$1,895-$2,195