Open Season 2026
Get familiar with the dental coverage you receive as a High Option or Consumer Driven Option member.
The High Option pays 70% of the Plan allowance for dental office visits, exams, cleanings, x-rays, fluoride treatment, fillings, and simple extractions. Members pay 30% of the cost, plus any difference between our allowance and the billed amount (no deductible).
Save 20% to 50% on most procedures at thousands of participating dentists nationwide. Transparent pricing with fee schedules let you know what each treatment costs before your appointment.
Use your Personal Care Account (PCA)—up to $400 for Self or $800 for Self Plus One and Self & Family—to pay for dental care each calendar year.
DEFINITION
Receive a $25 wellness incentive added to your PCA for each family member who completes a yearly checkup or recommended screening.
DEFINITION
15% coinsurance: The percentage of costs you pay after you pay the deductible.
DEFINITION
A Copay is a fixed amount you pay for a covered healthcare service, usually at the time you receive the service.
DEFINITION
Plan allowance is the maximum amount a plan will pay for a covered healthcare service