Dental Benefits

  • Preventive Dental
    • Up to 2 oral exams & cleanings each year
    • One set of bite-wing x-rays each year
    • Your preventive dental visits and services do not count toward your $1,500 allowable.
  • Comprehensive Dental
    • You have no copay for up to $1,500 in comprehensive dental services during the year with network dental providers.
    • Orthodontics and implants are not covered.
    • Prosthodontics & Endodontics have a 50% coinsurance
    • Call our Dental Customer Service team at 833-567-1841 to be sure your upcoming procedure is covered.
Dentist and Patient
Search for a dentist in our online directory.Dental Claim Form

See your Evidence of Coverage ( Silver ) for details.

Members with questions regarding their 2025 dental benefits may call 833-567-1841, TTY/TDD 833-567-1848 for more information.


Members on a Medicare Retiree group plan may have different benefits. Check your plan year benefit grid or call Customer Service with questions. Be sure to let us know what retiree group you are with.