Dental Plan Summary
Standard
Enhanced
Plan Benefit Type 1 (Preventive)
100% 70% 50% $50 lifetime Type 2,3 services; no family deductible
100% 70% 50% $50 lifetime Type 2,3 services; no family deductible
Type 2 (Basic Services) Type 3 (Major Services) Deductible
Maximum (per participant)
$1,000 per calendar year 90th Usual & Customary
$1,000 per calendar year 90th Usual & Customary
Allowance
Dental Rewards
Included, see below for details
Included, see below for details
FUSION - Supplemental Vision Waiting Period for Major Services
$150 reimbursement for out-of-pocket expenses
$150 Reimbursement for out-of-pocket expense
None
None
Annual Eye Exam
None
None
Orthodontia Summary - Adult and Child Coverage Allowance None
U&C 50%
Plan Benefit
None
Lifetime Maximum (per person)
None
$2,500
Waiting Period
None
None
Online and Mobile App Access to Ameritas Benefits A secure member portal and app to easily: • Find a Dentist in your area
• Quickly access all your ID cards • Access your benefit information • View deductible and maximum benefit usage
• View and download EOBs • Opt-in to paperless delivery
How to Find an In-Network Provider Call (800) 487-5553 or visit ameritas.com . Monday – Thursday 7:00 a.m. – 12:00 a.m. CT, Friday 7:00 a.m. – 6:30 p.m. CT
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