Dental Coverage
Dental benefits represent a significant component of our compensation package because we believe we need to invest in programs that help our employees and their families prioritize their dental health. PPHS offers a dental plan option through Anthem for 2025.
Watch this video to learn more about dental insurance
Dental Plan Highlights
Dental Complete (In-Network)
Calendar Year Deductible (Individual / Family)
$50 / $150
Annual Maximum per Person
$1,000
Preventive Dental Services1,2
Covered 100%
Basic Dental Services1,2
Covered 80%
Major Dental Services1,2
Covered 60%
Orthodontics2
Covered 50%, lifetime max of $1,000 per child
Dental Maximum Rollover / Threshold3
$250 / $500
Dental Complete (Out-of-Network)
Calendar Year Deductible (Individual / Family)
$50 / $150
Annual Maximum per Person
$1,000
Preventive Dental Services1,2
Covered 80%
Basic Dental Services1,2
Covered 60%
Major Dental Services1,2
Covered 50%
Orthodontics2
Covered 50%, lifetime max of $1,000 per child
Dental Maximum Rollover / Threshold3
$250 / $500
1. Coverage is for reasonable and customary charges. In no event will the covered charge be greater than the 90th percentile of the prevailing fee data for a particular service in the geographic area.
2. Please review your certificate of coverage for a complete list of services covered by the plan.
3. With Maximum Rollover, you may rollover a portion of your unused annual dental maximum into your personal Maximum Rollover Account (MRA). The MRA can be used in future years if you reach the plan’s annual maximum. For additional details on your dental max rollover benefit, please see your certificate of coverage.
Contact the provider of these benefits by calling this phone number or visiting this website: Anthem Customer Service:
(800) 295-4119 | www.anthem.com
Preventive Dental Services
- Cleaning and oral exam
- Fluoride treatment
- Sealants
- X-rays
Basic Dental Services
- Filling
- Tooth removal
- Root canal
- Anesthesia (50% coinsurance)
Major Dental Services
- Bridges and dentures
- Inlays, onlays, veneers
- Crowns, bridges, dentures (repair & maintenance)
Orthodontia
- Appliances, including braces and retainers
DENTAL COSTS
(Based on 26 pays per year)
Employee Only
$3.02
Employee + Spouse
$15.11
Employee + Children
$12.20
Employee + Family
$23.51
QUESTIONS? CONTACT THE CARE LINE
Care Line is an NFP-sponsored program that is staffed by dedicated professionals to help you understand the benefit options made available to you. Whether you have concerns about a recent claim or bill, finding an in-network doctor or just some guidance on which medical plan is right for you and your family, the Care Line can help educate and advocate. The Care Line is available to all employees and children over 18 who are enrolled on the benefit plan.
Contact the Care Line at (844) 717-8777, or you can submit your questions at callthecareline.com.
The Care Line is open Monday - Friday from 8:00 am - 7:00 pm (EST).