Retired Group — State, Local Government, and Education ...
Retired Group -- State, Local Government, and Education
Dental Rates Effective 1/1/2020 to 12/31/2020
PLAN/COVERAGE DESCRIPTION DENTAL EXPENSE PLAN (#398) Single Member & Spouse/Partner Family Parent & Child CIGNA (DPO #305) Single Member & Spouse/Partner Family Parent & Child HEALTHPLEX (DPO #307) Single Member & Spouse/Partner Family Parent & Child HORIZON DENTAL CHOICE (DPO #317) Single Member & Spouse/Partner Family Parent & Child AETNA DMO (DPO #319) Single Member & Spouse/Partner Family Parent & Child METLIFE (DPO #320) Single Member & Spouse/Partner Family Parent & Child
TOTAL MONTHLY BILLING RATE
$40.98 $80.85 $105.37 $60.94
$25.23 $48.15 $86.43 $76.68
$8.78 $15.27 $24.95 $18.49
$18.39 $31.96 $52.29 $38.72
$22.62 $39.38 $64.42 $47.74
$14.52 $24.61 $39.72 $29.63
HD-1065-0120
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