PPO ELITE

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

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

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

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 (Dental Maximum Reimbursement, our version of Reasonable and Customary), by request.

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

PPO ELITE

Some of the Important Benefits Included in the PPO ELITE Plans: