Plan Information

PPO Fee Schedule

The Careington Care PPO network provides you with:

  • Over 169,000 dental locations nationwide
  • Discounts of 20%-50% on most dental procedures services
  • Network discounts available immediately
  • To find a dentist, please use this Provider Search

Additionally, when you utilize a Care PPO dental provider, your out-of-pocket costs may be lower because they have agreed to a negotiated fee for covered services. You are responsible for any coinsurance and the required deductible. It is important to note that if you receive care from a non-Care PPO provider, your out-of-pocket charges may be higher on what the provider charges, not the network negotiated fee.

PPO Plans not available in all states.

PPO Fee Schedule
Preventive Dental Benefits Routine exams, teeth cleanings, topical fluoride (children up to age 16).
No waiting period.
Plan Pays 100%
Basic Dental Benefits X-rays, simple extractions, fillings.
6 month waiting period.
Plan Pays 80%
Major Dental Benefits Crowns, bridges, oral surgery (surgical extractions & impactions), endodontics, periodontics, dentures.
18 month waiting period.
Plan Pays 50%
Dental Deductible Per calendar year, per insured person for Preventive, Basic, & Major Services.
Calendar year deductible has a maximum of 3 per family each year.
Maximum Benefit Amount Per calendar year, per insured person. $1000

PPO Plans not available in all states.

This provides a very brief description of some of the important features of this insurance policy. It is not the insurance policy and does not represent it. A full explanation of benefits, exceptions and limitations is contained in the Individual Dental Policy Form IP1000 (and state specifics) or One Life Group Dental Policy that may be issued to the group trust, GH-1112 (and state specifics) or Individual Dental Policy Form IP-1000-NY. Premium rates may change upon renewal. This policy is renewable at the option of the insured (IP1000); (IP1000-NY) or the Company (GH-1112). This product may not be available in all states and is subject to individual state regulations.

Underwritten by Security Life Insurance Company of America.
10901 Red Circle Drive, Minnetonka, MN 55343.

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