Beneflex Private Exchange
Dental Plan Options

Option 1Option 2Option 3Option 4
Calendar Year Deductible 2
Individual
Family
$50
$150
$50
$150
$50
$150
$50
$150
Calendar Year Maximum$2,500$2,500$1,500$1,500
Orthodontic Lifetime MaximumN/A$1,500N/A$1,000
Preventative Services
(Routine Exams, Cleaning, X-Rays)
100%100%100%100%
Basic Services
(Restorative, Periodontics, Endodontics, Oral Surgery)
90%90%80%80%
Major Services
(Crowns, Bridges, Dentures)
60%60%50%50%
Orthodontic Services 3N/A50%N/A50%
Option 1Option 2Option 3Option 4
Calendar Year Deductible 2
Individual
Family
$50
$150
$50
$150
$50
$150
$50
$150
Calendar Year Maximum$2,500$2,500$1,500$1,500
Orthodontic Lifetime MaximumN/A$1,500N/A$1,000
Preventative Services
(Routine Exams, Cleaning, X-Rays)
100%100%100%100%
Basic Services
(Restorative, Periodontics, Endodontics, Oral Surgery)
90%90%80%80%
Major Services
(Crowns, Bridges, Dentures)
60%60%50%50%
Orthodontic Services 3N/A50%N/A50%
Monthly RatesOption 1Option 2Option 3Option 4
Employee Only$39.74$42.63$33.24$36.13
Employee + Spouse$81.98$87.95$68.57$74.53
Employee + Child(ren)$97.31$104.38$81.38$88.46
Employee + Family$150.22$161.14$125.64$136.56
Monthly RatesOption 1Option 2Option 3Option 4
Employee Only$39.74$42.63$33.24$36.13
Employee + Spouse$81.98$87.95$68.57$74.53
Employee + Child(ren)$97.31$104.38$81.38$88.46
Employee + Family$150.22$161.14$125.64$136.56
  • 1 Eligible benefits based on Usual and Customary at the 90th percentile of the National Dental Advisory Service (NDAS) guidelines.
  • 2 Deductible is waived for Preventative Services.
  • 3 Only for covered dependent children through age 18. No benefits shall be payable until the employee has completed 12 months of employment.
  • 4 12 month rate guarantee.
  • 5 10 subscribers minimum participation.

CALCULATE Monthly Plan Costs

Total$

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