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No Annual Maximum

There’s no annual maximum on your coverage, so you can utilize whatever benefits you need, as often as you need.

Network Options

Texas and Utah residents can choose between our regional Gold and Platinum networks at enrollment.

Short Waiting Periods

Take advantage of your full benefits within one year of your coverage start date.

Fixed Copay

Dental on a budget? Copays are fixed so you’ll always know what you’re going to pay prior to your appointment

Discounts

Discounts available on child and adult orthodontics, veneers, and teeth bleaching.

Plan Summary

In-Network

Out-of_Network

Preventive
Includes cleanings (2 per calendar year), exams, fluoride (14 & under) & x-rays
In-Network
100%
Out-of_Network
100% of Fee Schedule (General Dentist Only)
Basic
Includes fillings & oral surgery
In-Network
Up to 70% Coverage (Copay applies)
Out-of_Network
Up to 70% Coverage of Fee Schedule (General Dentist Only)
Waiting Periods - Basic
In-Network
6 Months
Out-of_Network
6 Months
Major
Includes crowns, bridges, periodontics, endodontics & dentures
In-Network
Up to 50% coverage
Out-of_Network
Up to 50% of Fee schedule (General Dentist Only)
Waiting Period - Major
In-Network
12 Months
Out-of_Network
12 Months
Deductible
Per calendar year. Applies to all services.
In-Network
$25 per person / $75 per family
Out-of_Network
$25 per person / $75 per family
Maximum Benefit
Per member, per calendar year. Applies to services excluding orthodontics.
In-Network
Unlimited
Out-of_Network
Unlimited
Orthodontics
Children & Adults
In-Network
20% Discount
Out-of_Network
N/A
Orthodontic Maximum
In-Network
None
Out-of_Network
N/A
Waiting Periods Orthodontic
In-Network
None
Out-of_Network
N/A

FAQ

Which networks can I use?

Gold or Platinum. General Dentists Only. Receive a 20% discount for contracted specialists, no other benefits apply.

When is my plan effective?

Currently, Dental Select offers plan effective dates are on the first day of each calendar month. You may choose your effective date during the plan selection process, where you also enter your zip code and number of dependents.

Who can I include on my plan?

Spouse and each unmarried child, from birth to age 26, who is living with you in a regular parent-child relationship; and for who you can claim an exception on your federal tax income.

Does my plan include Vision?

Yes. EyeMed Discount Vision is included with every dental plan.

Additional inclusions for Seniors

Discount Vision and Connection Hearing are also included with all Senior plans.

What if I require specialist services?

Members receive a 20% discount by all in-network specialists. No waiting periods or deductibles apply to the discount.

Where can I find a copy of my plan brochure?
To which services does my deductible apply?

Your deductible applies to all services and must be fully satisfied before plan benefits take effect.

Plan Highlights

  • In-network preventive care is covered at 100%
  • No annual maximum
  • Orthodontic discounts
  • Teeth bleaching and veneer discounts
  • Gold and Platinum network options

Legal

Plan Exclusions

Important Notice: This information is a brief description of the important features of the insurance plan. It is not a contract of insurance. The terms and conditions of coverage are set forth in the policies issued in the state in which the policy was delivered. Complete details may be found in the policies. The policy is subject to the laws of the state in which it was issued. Chubb NA is the U.S.-based operating division of the Chubb Group of Companies, headed by Chubb, Ltd. (NYSE: CB) Insurance products and services are provided by Chubb Insurance underwriting companies and not by the parent company itself.