PPO Dental

The TripleChoicePlan PPO Plan Guidelines

Please Click on the Provider Networks Name to access their web site.

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Dental Plans by Carrier:

Carrier
Provider Networks	First Dental Health Network	Humana Network	Ameritas Network	AlwaysCare Network Dentemax Network
Plan Options	PPO	PPO	PPO	PPO
Annual Maximum	Up to $2,500	Up to Unlimited	Up to $2,500	Up to $2,500
Orthodontia	Up to $2,500	Up to $2,000	Up to $2,500	Up to $2,500
Participation Requirement	Voluntary – 10 EE’s ER Paid – 10 EE’s	Voluntary – 10 EE’s ER Paid – 10 EE’s	Voluntary – 10 EE’s ER Paid – 10 EE’s	Voluntary – 10 EE’s ER Paid – 10 EE’s
Dual Choice-Group Size Requirement	15 Eligible Employees	15 Eligible Employees	15 Eligible Employees	15 Eligible Employees
Rate Guarantee	1 or 2 Year	1 or 2 Year	1 or 2 Year	1 or 2 Year