Plan Benefits
Welcome to the Dental Insurance information site for State of Florida Employees.
Plan Benefits
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| Coverage Type | Deductible |
|---|---|
| Employee Only | $50 |
| Employee + Spouse | $100(2 family members must meet deductible) |
| Employee + Child(ren) | $100(2 family members must meet deductible) |
| Employee + Family | $150(2 family members must meet deductible) |
| Indemnity with PPO Participating / Non Participating |
Standard PPO Participating / Non Participating |
Preventive Plan PPO Participating / Non Participating |
|
|---|---|---|---|
| Preventive Services | 100/100 percent | 100/80 percent | 100/80 percent |
| Basic Services | 80/80 percent | 80/50 percent | 80/50 percent |
| Major Services | 50/50 percent | 50/30 percent | No Benefit |
| Orthodontia Services | 50/50 percent | 50/30 percent | No Benefit |
| Indemnity with PPO Participating / Non Participating |
Standard PPO Participating / Non Participating |
Preventive Plan PPO Participating / Non Participating |
|
|---|---|---|---|
| Calendar Year Max | $2,000/ $2,000 | $1,500/ $1,500 | $1,000/ $1,000 |
| Indemnity with PPO Participating / Non Participating |
Standard PPO Participating / Non Participating |
Standard PPO Participating / Non Participating |
|
|---|---|---|---|
| Ortho Lifetime Max | $2,500/ $2,500 | $2,000/$1,500 | No Benefit |