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Compare Our Plans

California Dental Plans

Review the costs below to determine which plan is right for you. The Annual Premium is due in full at the time of purchase. The Co-payment is the amount you pay to your dentist for the dental procedure performed.
  • The CA50 HMO Plan is slightly higher in annual premium, however you will pay lower co-payments for most procedures.
  • The CA80 Discount Plan offers a lower annual premium than the CA50 HMO Plan, however you will pay higher co-payments.
  • The Senior Rate is a discounted annual premium offered when the primary member is 65+ years of age. There is no difference in the dental coverage provided with the Senior Rate.
  • Please Note: The Annual premium prices have been adjusted to include the 2.2% Affordable Care Act (ACA) tax fee.
Annual Premiums
(Yearly premium to be paid in full)

  CA50 HMO CA50 Senior (65+) CA80 Discount CA80 Senior (65+)
Individual (1 Party) $279.51/yr $253.56/yr $160.02/yr $146.02/yr
Double (2 Party) $455.73/yr $412.16/yr $199.54/yr $181.59/yr
Family (3+ Party) $666.44/yr $601.79/yr $267.05/yr $242.34/yr
Sample Discounted Fees
(Co-payment due to Dentist)

You Pay:
CA50 HMO Plan

You Pay:
CA80 Discount Plan

You Pay:
ADA Code Procedure/Description
D0150 Comprehensive Exam $90 $0 $8
D1110 Basic Cleaning (Prophylaxis) $75 $9 $0
D9999 Office Visit $25 $6 $8
D0210 Full Mouth X-Ray $75 $0 $0
D2150 Filling (Amalgam) - 2 Surfaces $177 $13 $32
D7140 Extractions (Erupted Tooth) $254 $25 $28
D2750 Porcelain Crown Molar $1070 $445 $530
D2740 Porcelain Crown Anterior $975 $225 $280
D2950 Core Buildup $294 $50 $99
D3320 Root Canal Bicuspid $952 $120 $190
D3330 Root Canal Molar $1111 $265 $245
D5110 Complete Denture Upper $1451 $250 $385

*Charges without Insurance are based on a Dental Economics Dental Fee Survey. Click Here to view survey.

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