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Dental Plan C

Preventive Care Preferred Provider Organization (Dental PPO)

Dental Plan C Highlights

Download PPO Brochure

  • Offers preventive care only.
  • Plan C offers both in-network and out-of-network preventive care. Learn more.
  • When you go to an in-network dental provider, there are no claim forms to file.
  • When you go to an out-of-network provider, the plan pays benefits based on the reasonable and customary (R&C) charge for a preventive service.  You'll generally be asked to pay for your care at the time of your visit and submit a claim for reimbursement.
  • If the out-of-network provider charges more, you'll be responsible for paying the amount above the R&C charge. 
  • For more information, read the Dental Plan C summary.