Small Business Dental Plans

Look over our dental plans to find the one with the preventive, basic, and major services that are right for your employees. You don’t need an HMSA medical plan, to offer an HMSA dental plan.

  • Benefits are for services received from participating providers.

2017 Plans

Preferred Provider Plans

Get the freedom to choose your own dentist. See a PPP participating dentist for lower out-of-pocket costs.

Plan Deductible Calendar year maximum Max out-of-pocket Monthly premiums
Essential
Pediatric

Plan Benefits

  (amount you pay)

Preventative

Exams: $0

X-rays: $0

Cleanings: $0

Fluoride: $0

Routine/Basic

Fillings: 30%

Periodontal: 30% Scaling and Root Planing

Root Canals: 30%

Major

Crowns: 50% Metal Noble Crowns

$0 No maximum $350 child / $700 (2+ children) max $36.65 / ages 0 - 20
Basic
Pediatric

Plan Benefits

  (amount you pay)

Preventative

Exams: 10%

X-rays: 10%

Cleanings: 10%

Fluoride: 10%

Routine/Basic

Fillings: 40%

Periodontal: 40% Scaling and Root Planing

Root Canals: 40%

Major

Crowns: 60% Metal Noble Crowns

$25 No maximum $350 child / $700 (2+ children) max $30.93 / ages 0 - 20
Adult

Plan Benefits

  (amount you pay)

Preventative

Exams: 10%

X-rays: 10%

Cleanings: 10%

Routine/Basic

Fillings: 40%

Periodontal: Not covered

Root Canals: Not covered

Major

Crowns: Not covered

Waiting period(s)

6 Months for Basic Care

$25 $1,000 Does not apply $14.66 / age 21+
High I
Pediatric

Plan Benefits

  (amount you pay)

Preventative

Exams: $0

X-rays: $0

Cleanings: $0

Fluoride: $0

Routine/Basic

Fillings: 30%

Periodontal: 30% Scaling and Root Planing

Root Canals: 30%

Major

Crowns: 30% Metal Noble Crowns

$0 No maximum $350 child / $700 (2+ children) max $39.20 / ages 0 - 20
Adult

Plan Benefits

  (amount you pay)

Preventative

Exams: $0

X-rays: $0

Cleanings: $0

Routine/Basic

Fillings: 30%

Major

Crowns: 30%

Periodontal: 30%

Root Canals: 30%

Waiting period(s)

12 Months for Major Care

$0 $1,000 Does not apply $36.50 / age 21+
High II
Pediatric

Plan Benefits

  (amount you pay)

Preventative

Exams: $0

X-rays: $0

Cleanings: $0

Fluoride: $0

Routine/Basic

Fillings: 30%

Periodontal: 30% Scaling and Root Planing

Root Canals: 30%

Major

Crowns: 50% Metal Noble Crowns

$0 No maximum $350 child / $700 (2+ children) max $37.73 / ages 0 - 20
Adult

Plan Benefits

  (amount you pay)

Preventative

Exams: $0

X-rays: $0

Cleanings: $0

Routine/Basic

Fillings: 30%

Major

Crowns: 50%

Periodontal: 50%

Root Canals: 50%

Waiting period(s)

12 Months for Major Care

$0 $1,500 Does not apply $34.74 / age 21+
High III
Pediatric

Plan Benefits

  (amount you pay)

Preventative

Exams: $0

X-rays: $0

Cleanings: $0

Fluoride: $0

Routine/Basic

Fillings: 30%

Periodontal: 30% Scaling and Root Planing

Root Canals: 30%

Major

Crowns: 30% Metal Noble Crowns

Orthodontics: 100% up to lifetime maximum of $1,000

$0 No maximum $350 child / $700 (2+ children) max $40.16 / ages 0 - 20
Adult

Plan Benefits

  (amount you pay)

Preventative

Exams: $0

X-rays: $0

Cleanings: $0

Routine/Basic

Fillings: 30%

Major

Crowns: 30%

Periodontal: 30%

Root Canals: 30%

Orthodontics: 100% up to lifetime maximum of $1,000

Waiting period(s)

12 Months for Major Care

$0 $1,000 Not Applicable $37.46 / age 21+
High IV
Pediatric

Plan Benefits

  (amount you pay)

Preventative

Exams: $0

X-rays: $0

Cleanings: $0

Fluoride: $0

Routine/Basic

Fillings: 30%

Periodontal: 30% Scaling and Root Planing

Root Canals: 30%

Major

Crowns: 30% Metal Noble Crowns

Orthodontics: 100% up to lifetime maximum of $1,000

$0 No maximum $350 child / $700 (2+ children) max $40.16 / ages 0 - 20
Adult

Plan Benefits

  (amount you pay)

Preventative

Exams: $0

X-rays: $0

Cleanings: $0

Routine/Basic

Fillings: 30%

Major

Crowns: 30%

Periodontal: 30%

Root Canals: 30%

Orthodontics: 100% up to lifetime maximum of $1,000

Waiting period(s)

12 Months for Major Care

$0 $1,500 Not Applicable $42.30 / age 21+
High V
Pediatric

Plan Benefits

  (amount you pay)

Preventative

Exams: $0

X-rays: $0

Cleanings: $0

Fluoride: $0

Routine/Basic

Fillings: 30%

Periodontal: 30% Scaling and Root Planing

Root Canals: 30%

Major

Crowns: 50% Metal Noble Crowns

Orthodontics: 100% up to lifetime maximum of $1,000

$0 No maximum $350 child / $700 (2+ children) max $38.69 / ages 0 - 20
Adult

Plan Benefits

  (amount you pay)

Preventative

Exams: $0

X-rays: $0

Cleanings: $0

Routine/Basic

Fillings: 30%

Major

Crowns: 50%

Periodontal: 50%

Root Canals: 50%

Orthodontics: 100% up to lifetime maximum of $1,000

Waiting period(s)

12 Months for Major Care

$0 $1,500 Not Applicable $35.70 / ages 0 - 20

Health Maintenance Organization Plans

See dentists in our HMO health center network.

Plan Deductible Calendar year maximum Max out-of-pocket Monthly premiums
Basic
Pediatric

Plan Benefits

  (amount you pay)

Preventative

Exams: $10

X-rays: $10 & Up

Cleanings: $10

Fluoride: $10

Routine/Basic

Fillings: $40 & Up

Periodontal: $90 & Up Scaling and Root Planing

Root Canals: $285 and Up

Major

Crowns: $225 & Up Metal Noble Crowns

$0 No maximum $350 child / $700 (2+ children) max $20.21 / ages 0 - 20
Adult

Plan Benefits

  (amount you pay)

Preventative

Exams: $10

X-rays: $10 & Up

Cleanings: $10

Fluoride: $10

Routine/Basic

Fillings: $40 & Up

Periodontal: $90 & Up

Root Canals: $285 and Up

Major

Crowns: $225 & Up

Waiting period(s)

12 Months for Major Care

$0 None Does not apply $17.73 / age 21+
High I
Pediatric

Plan Benefits

  (amount you pay)

Preventative

Exams: None

X-rays: None

Cleanings: $10

Fluoride: None

Routine/Basic

Fillings: $35 & Up

Periodontal: $50 & Up Scaling and Root Planing

Root Canals: $50 & Up

Major

Crowns: $100 Metal Noble Crowns

$0 No maximum $350 child / $700 (2+ children) max $25.54 / ages 0 - 20
Adult

Plan Benefits

  (amount you pay)

Preventative

Exams: None

X-rays: None

Cleanings: $10

Fluoride: None

Routine/Basic

Fillings: $35 & Up

Periodontal: $50 & Up

Root Canals: $50 & Up

Major

Crowns: $100 & Up

Waiting period(s)

12 Months for Major Care

$0 None Does not apply $27.24 / ages 0 - 20
High II
Pediatric

Plan Benefits

  (amount you pay)

Preventative

Exams: None

X-rays: None

Cleanings: $10

Fluoride: None

Routine/Basic

Fillings: $25 & Up

Periodontal: $50 & Up Scaling and Root Planing

Root Canals: $50 & Up

Major

Crowns: $100 Metal Noble Crowns

$0 No maximum $350 child / $700 (2+ children) max $26.40 / ages 0 - 20
Adult

Plan Benefits

  (amount you pay)

Preventative

Exams: None

X-rays: None

Cleanings: $10

Fluoride: None

Routine/Basic

Fillings: $25 & Up

Periodontal: $50 & Up

Root Canals: $50 & Up

Major

Crowns: $100 & Up

Waiting period(s)

12 Months for Major Care

$0 None Does not apply $29.18 / ages 0 - 20

2016 Plans

Preferred Provider Plans

Get the freedom to choose your own dentist. See a PPP participating dentist for lower out-of-pocket costs.

Plan Deductible Calendar year maximum Max out-of-pocket Monthly premiums
Essential
Pediatric

Plan Benefits

  (amount you pay)

Preventative

Exams: $0

X-rays: $0

Cleanings: $0

Fluoride: $0

Routine/Basic

Fillings: 30%

Periodontal: 30%

Root Canals: 30%

Major

Crowns: 50%

$0 No maximum $350 child / $700 (2+ children) max $36.65 / ages 0 - 20
Basic
Pediatric

Plan Benefits

  (amount you pay)

Preventative

Exams: 10%

X-rays: 10%

Cleanings: 10%

Fluoride: 10%

Routine/Basic

Fillings: 40%

Periodontal: 40%

Root Canals: 40%

Major

Crowns: 60%

$25 No maximum $350 child / $700 (2+ children) max $30.93 / ages 0 - 20
Adult

Plan Benefits

  (amount you pay)

Preventative

Exams: 10%

X-rays: 10%

Cleanings: 10%

Routine/Basic

Fillings: 40%

Periodontal: Not covered

Root Canals: Not covered

Major

Crowns: Not covered

Waiting period(s)

6 Months for Basic Care

$25 $1,000 Does not apply $14.66 / age 21+
High I
Pediatric

Plan Benefits

  (amount you pay)

Preventative

Exams: $0

X-rays: $0

Cleanings: $0

Fluoride: $0

Routine/Basic

Fillings: 30%

Periodontal: 30%

Root Canals: 30%

Major

Crowns: 30%

$0 No maximum $350 child / $700 (2+ children) max $39.20 / ages 0 - 20
Adult

Plan Benefits

  (amount you pay)

Preventative

Exams: $0

X-rays: $0

Cleanings: $0

Routine/Basic

Fillings: 30%

Major

Crowns: 30%

Periodontal: 30%

Root Canals: 30%

Waiting period(s)

12 Months for Major Care

$0 $1,000 Does not apply $36.50 / age 21+
High II
Pediatric

Plan Benefits

  (amount you pay)

Preventative

Exams: $0

X-rays: $0

Cleanings: $0

Fluoride: $0

Routine/Basic

Fillings: 30%

Periodontal: 30%

Root Canals: 30%

Major

Crowns: 50%

$0 No maximum $350 child / $700 (2+ children) max $37.73 / ages 0 - 20
Adult

Plan Benefits

  (amount you pay)

Preventative

Exams: $0

X-rays: $0

Cleanings: $0

Routine/Basic

Fillings: 30%

Major

Crowns: 50%

Periodontal: 50%

Root Canals: 50%

Waiting period(s)

12 Months for Major Care

$0 $1,500 Does not apply $34.74 / age 21+
High III
Pediatric

Plan Benefits

  (amount you pay)

Preventative

Exams: $0

X-rays: $0

Cleanings: $0

Fluoride: $0

Routine/Basic

Fillings: 30%

Periodontal: 30%

Root Canals: 30%

Major

Crowns: 30%

Orthodontics: 100% up to lifetime maximum of $1,000

$0 No maximum $350 child / $700 (2+ children) max $40.16 / ages 0 - 20
Adult

Plan Benefits

  (amount you pay)

Preventative

Exams: $0

X-rays: $0

Cleanings: $0

Routine/Basic

Fillings: 30%

Major

Crowns: 30%

Periodontal: 30%

Root Canals: 30%

Orthodontics: 100% up to lifetime maximum of $1,000

Waiting period(s)

12 Months for Major Care

$0 $1,000 Not Applicable $37.46 / age 21+
High IV
Pediatric

Plan Benefits

  (amount you pay)

Preventative

Exams: $0

X-rays: $0

Cleanings: $0

Fluoride: $0

Routine/Basic

Fillings: 30%

Periodontal: 30%

Root Canals: 30%

Major

Crowns: 30%

Orthodontics: 100% up to lifetime maximum of $1,000

$0 No maximum $350 child / $700 (2+ children) max $40.16 / ages 0 - 20
Adult

Plan Benefits

  (amount you pay)

Preventative

Exams: $0

X-rays: $0

Cleanings: $0

Routine/Basic

Fillings: 30%

Major

Crowns: 30%

Periodontal: 30%

Root Canals: 30%

Orthodontics: 100% up to lifetime maximum of $1,000

Waiting period(s)

12 Months for Major Care

$0 $1,500 Not Applicable $42.30 / age 21+
High V
Pediatric

Plan Benefits

  (amount you pay)

Preventative

Exams: $0

X-rays: $0

Cleanings: $0

Fluoride: $0

Routine/Basic

Fillings: 30%

Periodontal: 30%

Root Canals: 30%

Major

Crowns: 50%

Orthodontics: 100% up to lifetime maximum of $1,000

$0 No maximum $350 child / $700 (2+ children) max $38.69 / ages 0 - 20
Adult

Plan Benefits

  (amount you pay)

Preventative

Exams: $0

X-rays: $0

Cleanings: $0

Routine/Basic

Fillings: 30%

Major

Crowns: 50%

Periodontal: 50%

Root Canals: 50%

Orthodontics: 100% up to lifetime maximum of $1,000

Waiting period(s)

12 Months for Major Care

$0 $1,500 Not Applicable $35.70 / ages 0 - 20

Health Maintenance Organization Plans

See dentists in our HMO health center network.

Plan Deductible Calendar year maximum Max out-of-pocket Monthly premiums
Basic
Pediatric

Plan Benefits

  (amount you pay)

Preventative

Exams: $10

X-rays: $10 & Up

Cleanings: $10

Fluoride: $10

Routine/Basic

Fillings: $40 & Up

Periodontal: $90 & Up

Root Canals: $50 & Up

Major

Crowns: $225 & Up

$0 No maximum $350 child / $700 (2+ children) max $20.21 / ages 0 - 20
Adult

Plan Benefits

  (amount you pay)

Preventative

Exams: $10

X-rays: $10 & Up

Cleanings: $10

Fluoride: $10

Routine/Basic

Fillings: $40 & Up

Periodontal: $90 & Up

Root Canals: $50 & Up

Major

Crowns: $225 & Up

Waiting period(s)

12 Months for Major Care

$0 None Does not apply $17.73 / age 21+
High I
Pediatric

Plan Benefits

  (amount you pay)

Preventative

Exams: None

X-rays: None

Cleanings: $10

Fluoride: None

Routine/Basic

Fillings: $35 & Up

Periodontal: $50 & Up

Root Canals: $50 & Up

Major

Crowns: $100

$0 No maximum $350 child / $700 (2+ children) max $25.54 / ages 0 - 20
Adult

Plan Benefits

  (amount you pay)

Preventative

Exams: None

X-rays: None

Cleanings: $10

Fluoride: None

Routine/Basic

Fillings: $35 & Up

Periodontal: $50 & Up

Root Canals: $50 & Up

Major

Crowns: $100 & Up

Waiting period(s)

12 Months for Major Care

$0 None Does not apply $27.24 / ages 0 - 20
High II
Pediatric

Plan Benefits

  (amount you pay)

Preventative

Exams: None

X-rays: None

Cleanings: $10

Fluoride: None

Routine/Basic

Fillings: $25 & Up

Periodontal: $50 & Up

Root Canals: $50 & Up

Major

Crowns: $100

$0 No maximum $350 child / $700 (2+ children) max $26.40 / ages 0 - 20
Adult

Plan Benefits

  (amount you pay)

Preventative

Exams: None

X-rays: None

Cleanings: $10

Fluoride: None

Routine/Basic

Fillings: $25 & Up

Periodontal: $50 & Up

Root Canals: $50 & Up

Major

Crowns: $100 & Up

Waiting period(s)

12 Months for Major Care

$0 None Does not apply $29.18 / ages 0 - 20