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Dental Insurance Plans

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Available Dental Insurance Plans


Dental Insurance Plans


DENTAL PLANS

 

 

Humana State of Texas Dental Choice

 

 

Humana DHMO

 

 

 

 

 

Dental Choice Plan

 

 

Dental Plan

 

 

Premiums (Monthly)

 

 

Employee Only

 

 

 $14.46

 

 

 $ 0.00

 

 

Employee/Spouse

 

 

 $38.98

 

 

 $ 9.12

 

 

Employee/Children

 

 

 $47.48 

 

 $12.76 

 

Employee/Family

 

 

 $71.06 

 

 

 $21.89

 

 

Physician Choice

 

 

Your Choice. There is a network of dentists available.

 

 

Plan Providers

 

 

Preventative Cost

 

 

Network Dentist: $0; Non-Network Dentist: $50 deductible/10% coinsurance

 

 

$12 copay

 

 

Restorative Cost

 

 

Basic & Major Services-Network - $50 deductible/10% coinsurance for basic/50% coinsurance for major.

 

 

Copayment Schedule

 

 

Major Restorative Cost

 

 

Basic & Major Services-Network - $50 deductible/10% coinsurance for basic/50% coinsurance for major.

 

 

Copayment Schedule

 

 

Maximum Annual Benefit

 

 

$1500 per covered individual (excludes orthodontia services)

 

 

No Maximum

 

 

Please go to the Employees Retirement System of Texas (ERS) website for more detailed information (www.ers.state.tx.us).

 



Created By swindellal -- Apr/20/05
Last updated by jlbarton -- Jun/18/13