Freedom Plan members save $2,247 on average per year!
- Freedom of Choice of Dentists
- No Charge for Routine Cleanings: 2 Per Year, 1 Per 6 Months
- No Charge for Fluoride Application
- Panoramic/Full-Series Dental X-Rays: Once Every 3 Years
- Fillings: 2 Per Year Deeply Discounted
- Surgical Extractions: 2 Per Year Deeply Discounted
- Crown: 1 Per Year Deeply Discounted
- No Waiting Periods
- No Pre-Existing Condition Exclusions
- No Claims Forms
- No Calendar Year Maximum
- Discounts on Specialty Care
- $238.56 per year
- $477.12 per year
- $548.64 per year
- $787.32 per year
* For monthly billing, your account will be debited or charged by the 15th of each month for one month’s premium plus a $1 monthly service charge.
A $35 one-time enrollment fee applies to your first year of enrollment.
|IN-NETWORK DENTAL SERVICES||AVERAGE COST*||YOUR COST||YOUR SAVINGS|
|Comprehensive Oral Exam||$104||No Cost||$104|
|Periodic Oral Exam||$60||No Cost||$60|
|Bitewing X-Rays (4)||$76||No Cost||$76|
|Panoramic X-Ray||$130||No Cost||$130|
|Routine Cleanings||$106||No Cost||$106|
|Filling (One Surface Amalgam)||$170||$27||$143|
|Molar Root Canal||$1,200||$743||$457|
|Crown (Porcelain Fused to Noble Metal)||$1,257||$86||$1,171|
*Average cost is based on the National Average of the 80th percentile of usual and customary rates as detailed in the National Dental Advisory Service for 2016.
The Freedom Plan provides full coverage on various preventative care dental services. Members may select a dentist of their choice. If a Network Dentist is chosen, members will generally incur less out-of-pocket costs. In addition, members are entitled to receive numerous other dental care services identified in the Member Guide/Schedule of Benefits in exchange for the applicable co-payment identified in the Schedule of Benefits.