866.696.6527
1010 North 500 East, Suite 101, North Salt Lake, UT 84054

PPO/Indemnity Plans

Employers can choose between our PPO Elite and PPO Essentials platforms. Here are some of the Important Benefits to consider:
Preventive

Routine exams, cleaning, fluoride and x-rays


  • 100% – (Contracted Fee In-Network / MPA Out of Network)
  • No waiting period
Basic

Fillings, simple extractions, endodontics & periodontal svcs, etc.


  • 80% (or custom) – (Contracted Fee In-Network / MPA Out of Network)
  • No waiting period
Major

Crowns, bridges, dentures, complex surgery, implants (Elite Plans)


  • 50% (or custom) – (Contracted Fee In-Network / MPA Out of Network)
  • No waiting period with previous comparable coverage
Deductible
  • $25 per person / $75 family, OR
  • $50 per person / $150 family, OR
  • $75 per person / $225 family, OR
  • $100 Lifetime Deductible, etc.
Orthodontia

Children under 19. Can also include Adult Ortho by request.


  • 50% or Discount Only – (Contracted Fee In-Network / MPA Out of Network)
  • No waiting period with previous comparable coverage
  • Lifetime Maximums as high as $2,000
Annual Maximum Carryover Benefit (PPO Elite Plans)
  • Allows members to ‘carry-over’ a portion of their unused annual maximum. Accrues from year to year and can increase maximum benefit to as high as $3,500 per person
Specialists (all plans)
  • Coverage enhanced to pay coinsurance based on Specialist contracted fees (In Network) or MPA (Out of Network). NO BALANCE BILLING IN NETWORK
Annual Maximum Benefit
  • Flexible – up to $2,000 (or more)

Contracted Fee – This term is the negotiated and exclusive rate that has been agreed to by Dentist Direct Dental Plans and participating In-Network dentists.

MPA means “Maximum Plan Allowance” and can be set to levels ranging from the in-network fee schedule to DMR (our version of R&C), by request.

To Obtain a Quote: Call 1-866-MY-MOLAR (1-866-696-6527)