No Annual Maximum

There’s no annual maximum on your coverage, so you can utilize whatever benefits you need, as often as you need.

Network Options

Texas and Utah residents can choose between our regional Gold and Platinum networks at enrollment.

Fixed Copay

Dental on a budget? Copays are fixed so you’ll always know what you’re going to pay prior to your appointment.

Short Waiting Periods

Take advantage of your full benefits within one year of your coverage start date.

Discounts

Discounts available on child and adult orthodontics, veneers, and teeth bleaching.

Plan Highlights

  • In-network preventive care is covered at 100%
  • No annual maximum
  • Orthodontic discounts
  • Teeth bleaching and veneer discounts
  • Gold and Platinum network options

Plan Summary

In-Network

Out-of-Network

Preventive
Includes cleanings (2 per year), exams, flouride (14 & under) & x-rays
In-Network
100%
Out-of-Network
100% of Fee schedule (General Dentist Only)
Basic
In-Network
Up to 70% coverage (Copay applies)
Out-of-Network
Up to 70% of Fee schedule (General Dentist Only)
Waiting Period - Basic
In-Network
6 months
Out-of-Network
6 months
Major
Includes crowns, bridges, periodontics, endodontics & dentures
In-Network
Up to 50% coverage
Out-of-Network
Up to 50% of Fee schedule (General Dentist Only)
Waiting Period - Major
In-Network
12 months
Out-of-Network
12 months
Deductible
Per effective date year. Applies to all services.
In-Network
$25/$75 /per person/per family
Out-of-Network
$25/$75 /per person/per family
Maximum Benefit
Per member, per effective date year. Applies to services excluding orthodontics.
In-Network
Unlimited
Out-of-Network
Unlimited
Orthodontics
Children & Adults
In-Network
20% Discount
Out-of-Network
N/A
Orthodontic Maximum
In-Network
None
Out-of-Network
N/A
Waiting Period - Orthodontic
In-Network
None
Out-of-Network
N/A

FAQ

Which networks can I use?
When is my plan effective?
Who can I include on my plan?
Does my plan include Vision?
Additional inclusions for Seniors
What if I require specialist services?
Where can I find a copy of my plan brochure?
To which services does my deductible apply?

Legal

Plan Exclusions

Important Notice: This information is a brief description of the important features of the insurance plan. It is not a contract of insurance. The terms and conditions of coverage are set forth in the policies issued in the state in which the policy was delivered. Complete details may be found in the policies. The policy is subject to the laws of the state in which it was issued. Chubb NA is the U.S.-based operating division of the Chubb Group of Companies, headed by Chubb, Ltd. (NYSE: CB) Insurance products and services are provided by Chubb Insurance underwriting companies and not by the parent company itself.

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