CompBenefits Triple Option Dental Care

With CompBenefits, you have a choice of three dental options to meet you and your family's dental care needs.

Dental coverage is a voluntary, pre-tax benefit. You may select your dental coverage separately from your medical. You may choose the level of dental coverage that best suits your needs. It does not have to match the choice you made for health.

Benefit Options

Managed Care Plan

Option I is a pre-paid option that is a managed care plan. You must use an OHS network dentist and pay applicable co-payments each time you visit the dentist. This plan features no deductibles and gives you low out of pockets costs for your dental care. What you pay the dentist on your visit is listed on your benefits schedule, there are no extra charges. If you choose to use an out of network dentist, your services will not be covered.

With CompBenefits OHS Plan, you won't be surprised by any hidden costs. There aren't any. Your dental needs are covered right from the start. Any pre-existing condition you may have is covered immediately.

High Option PPO Plan

Option II is a PPO option which allows you to use the dentist of your choice or you may use a CompBenefits network dentist for lower out-of-pocket expenses. You must pay a deductible for some services and by referring to your benefit schedule, it will show your exact reimbursement and deductible amount, if one applies. Claims will need to be filed for reimbursement for services. Orthodontia is available for children 18 years of age or younger.

Low Option PPO Plan

Option III is a second PPO option that works similar to Option II but differs in that it does not offer orthodontia and your reimbursements for services received are slightly lower on some services.

If you choose Option II or III, you must file a claim form for reimbursement of services. PPO participating providers will file a claim for you for reimbursement or you may also choose to file a claim.

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Dental Rates

Per pay period pre-tax deductions

		per 24 pay periods	per 20 pay periods


Managed Care
Dental Option I - Prepaid/S-320

	Employee Only	$ 5.84	$ 7.01
	Employee & Child(ren)	$11.18	$13.42
	Employee & Spouse	$14.05	$16.86
	Employee & Family	$19.75	$23.70

High Option
Dental Option II - PPO/Elite Preferred 510 (with Orthodontia)

	Employee Only	$15.71	$18.85
	Employee & Child(ren)	$43.20	$51.84
	Employee & Spouse	$38.49	$46.19
	Employee & Family	$58.13	$69.76

Low Option
Dental Option III - PPO/Elite Preferred 510 (no Orthodontia)

	Employee Only	$11.78	$14.14
	Employee & Child(ren)	$32.40	$38.88
	Employee & Spouse	$28.87	$34.64
	Employee & Family	$43.60	$52.32

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