DentalBlue®
Summary of Benefits | Dental Blue®Rates | Download Application
Ameritas Dental®
Summary of Benefits | Ameritas Dental® Rates | Download Application
Apply Online for Ameritas One Life-Dental
Your dental benefits provide coverage for diagnostic and preventive care, basic services and major services. Plus, you may obtain services from any provider. The chart below describes how your dental plan works:
 Ameritas Dental® Benefits
| Type of Coverage |
Plan Benefits* |
| Type I -Preventative |
100%
|
Oral Exams
Prophylaxis(cleanings)
Fluoride Treatments (limited to children under 19) |
3-month elimination period |
| Type II-Basic |
80%
|
X-rays: full mouth series,
bitewings, occlusal, panoramic
Amalgams (fillings),
space maintainers
Simple extractions
|
6-month elimination period |
| Type III-Major |
50%
|
Endodontics (root canals)
Periodontics (gum disease)
Crowns, bridges, onlays,
pontics, general anesthesia
(if medically necessary)
Sealants
|
12-month elimination period |
Orthodontia**
|
$0 deductible; $600 lifetime max; $200 per year
|
|
12-month elimination period
|
|
|
| Calendar Year Deductibles (per person) |
$50 for Type II & III
|
| |
|
| Calendar Year Maximums (per person) |
$750 or $1,000
|
*Based on the Traditional Plan A.
**Only Covered in the Progressive Plan B.
View the full plan for more details.
|
