CapDent
Managed Care Plan
- In-Network Coverage Only
- No Annual Maximum
- No Deductibles
- No Charge for Exams, Cleanings
and X-Rays - 25% Discount off a participating specialist's usual fee
- Discount vision plan at no additional cost provided through Davis Vision
- This plan is ACA compliant
SINGLE
$14.75/Month
EMPLOYEE +1
$25.00/Month
FAMILY
$34.50/Month
Monthly Premium
CapDent Plus
Managed Care Plan
- In/Out-of-Network Coverage
- No Annual Maximum
- No Deductibles
- No Charge for Exams, Cleanings,
X-Rays and Fillings - 25% Discount off a participating specialist's usual fee
- Discount vision plan at no additional cost provided through Davis Vision
- This plan is ACA compliant
SINGLE
$24.00/Month
EMPLOYEE +1
$41.00/Month
FAMILY
$59.50/Month
Monthly Premium
Select
Managed Care Plan
- In-Network Coverage Only
- No Annual Maximum
- No Deductibles
- No Charge for Exams, Cleanings
and X-Rays - Fixed copay at participating specialist
- Discount vision plan at no additional cost provided through Davis Vision
- This plan is ACA compliant
SINGLE
$18.00/Month
EMPLOYEE +1
$31.00/Month
FAMILY
$45.50/Month
Monthly Premium
Select Plus
Managed Care Plan
- In/Out-of-Network Coverage
- No Annual Maximum
- No Deductibles
- No Charge for Exams, Cleanings,
X-Rays and Fillings - Fixed copay at participating specialist
- Discount vision plan at no additional cost provided through Davis Vision
- This plan is ACA compliant
SINGLE
$29.00/Month
EMPLOYEE +1
$52.00/Month
FAMILY
$70.50/Month
Monthly Premium
CapDent
Managed Care Plan
- In-Network Coverage Only
- No Annual Maximum
- No Deductibles
- No Charge for Exams, Cleanings and X-Rays
- 25% Discount off a participating specialist's usual fee
- Discount vision plan at no additional cost provided through Davis Vision
SINGLE
$12.80/Month
EMPLOYEE +1
$25.65/Month
FAMILY
$36.65/Month
Monthly Premium
OMNI PPO
PPO Plan
- $1,500 Annual Maximum
- $50 Deductible
- In and Out-of-Network Coverage
- No Charge for Exams, X-rays and Cleanings
- This plan is ACA compliant
- Dependents covered to age 26
SINGLE
$33.50/Month
EMPLOYEE +1
$65.00/Month
FAMILY
$87.50/Month
Monthly Premium
Preferred Choice
PPO Plan
- $1,200 Annual Maximum
- $40 Deductible
- In and Out-of-Network Coverage
- This plan is ACA compliant
SINGLE
$15.42/Month
EMPLOYEE +1
$30.38/Month
FAMILY
$52.78/Month
Monthly Premium