Ameritas dental PPO cover

Ameritas dental has the following dental coverage plans available: Essential Plan, Premier Plan, Economy Plan, Base Plan, Basic Plan, Elite Plan, PrimeStar® Value, PrimeStar® Access, PrimeStar® Total, PPO Plan 3000, PPO Plan 3500, PPO Plan 4000, and PPO Plan 5000.

Ameritas dental coverage plans

Ameritas Dental takes a straightforward approach to dental insurance: plan alternatives to suit the client's needs, supported by one of the country's largest dental networks and award-winning service. A variety of cost-effective dental plans are available with Ameritas dental. Typically, Ameritas dental plans offer partial or full coverage for diagnostic and preventive dental care, basic dental services, and major dental procedures.

Ameritas Dental Essential Plan

Ameritas Dental Essential Plan includes an estimated 100% coverage for one oral exam per year, teeth cleanings, fluoride treatments, sealants, x-rays, and other preventive dental benefits with no waiting period. This means that the plan pays an estimated 100% for preventive (Type 1) services while the member has 0% coinsurance. There’s an estimated 100% fee schedule for basic services (Type 2) with no waiting period and major services (Type 3) with a 6 month waiting period. Coverage includes tooth fillings, simple extractions, root canals, crowns, and many more. The annual maximum benefit is $1,500 with a potential maximum benefit with dental rewards of $2,500.

Ameritas Dental Premier Plan

Ameritas Dental Premier Plan includes an estimated 100% coverage for two oral exams a year, teeth cleanings, fluoride treatments, sealants, x-rays, and other preventive dental benefits with no waiting period. This means that the Premier plan pays an estimate of 100% for preventive (Type 1) services while the member has 0% coinsurance. There’s an estimate of 100% fee schedule for basic services (Type 2) with no waiting period and major services (Type 3) with a waiting period of 6 months. The plan covers tooth fillings, simple extractions, root canals, dentures, bridges, crowns, and many more. Ameritas Dental Premier Plan offers an orthodontic lifetime maximum of $500 with a 12 month waiting period. The annual maximum benefit is $2,000 with a potential maximum benefit with dental rewards of $3,000.

Ameritas Dental Economy Plan

With Ameritas Dental Economy Plan, there’s an estimated 100% fee schedule for preventive services (Type 1) and basic services (Type 2). Both have no waiting period. The Economy plan includes an estimated 100% coverage for two dental exams per year, teeth cleanings, fluoride treatments, sealants, x-rays, and other preventive dental services with no waiting period. Coverage also includes fillings and simple tooth extractions. The annual maximum benefit is $1,000 with a potential maximum benefit with dental rewards of $2,000.

Ameritas Dental Base Plan

Ameritas Dental Base Plan includes an estimate of 80% coverage for one dental exam each year, dental cleanings, fluoride treatments, sealants, dental x-rays, and other preventive dental care with no waiting period. This means that the Base plan pays an estimated 80% for preventive services (Type 1) while the member has 20% coinsurance. There’s an estimated 100% fee schedule for basic services (Type 2) with no waiting period. Coverage includes dental fillings and simple extractions. The annual maximum benefit is $1,000 with a potential maximum benefit with dental rewards of $2,000.

Ameritas Dental Basic Plan

With Ameritas Dental Basic Plan, there’s an estimated 80% coverage for two oral exams a year, dental cleanings, fluoride treatments, and other preventive dental care with no waiting period. The Basic plan gives an estimate of 100% coverage for x-rays once a year and an estimated 50% coverage for sealants, fillings, and simple extractions with no waiting period. About an estimated 20% of dentures, root canals, crowns, oral surgeries, periodontics, and bridges are covered.

The Ameritas Dental Basic Plan pays an estimated 80% for preventive services (Type 1) while the member has 20% coinsurance. The plan pays an estimate of 50% for basic services (Type 2) while the member has 50% coinsurance. The plan benefit is an estimated 20% for major services (Type 3) and the member has 80% coinsurance. The annual maximum benefit is $1,000 with a potential maximum benefit with dental rewards of $2,000.

Ameritas Dental Elite Plan

The Ameritas Dental Elite Plan provides an estimate of 100% coverage for two dental exams each year, dental cleanings, fluoride treatments, and other preventive dental care with no waiting period. The Elite plan offers an estimated 100% coverage for x-rays once per year and an estimated 70% coverage for teeth fillings, simple tooth extractions, and dental sealants with no waiting period. About an estimated 40% of oral surgeries, crowns, root canals, periodontics, dentures, and bridges are covered.

The Ameritas Dental Elite Plan pays an estimated 100% for preventive services (Type 1) while the member has 0% coinsurance. The plan pays an estimate of 70% for basic services (Type 2) while the member has 30% coinsurance. The Elite plan benefit is an estimated 40% for major services (Type 3) and the member has 60% coinsurance. The annual maximum benefit is $1,500 with a potential maximum benefit with dental rewards of $2,500.

Ameritas Dental PrimeStar® Value

With Ameritas Dental PrimeStar® Value, members will get an estimate of 100% coverage for preventive dental care like oral exams (2 per year) and teeth cleanings (2 per year). This plan also offers an estimated 80% coverage for basic dental services such as fillings, bitewing x-rays, sealants (under age 16), and fluoride (under age 16). An estimated 15% is to be covered for major dental procedures including crowns, root canals, dentures, oral surgeries, bridges, periodontics, and panoramic x-rays. There's a $50 deductible per person for basic and major services combined, with a maximum of three deductibles per family and a $750 maximum benefit per person for basic and major services combined.

Ameritas Dental PrimeStar® Access

Ameritas Dental PrimeStar® Access offers an estimate of 100% coverage for preventive dental services for in-network patients and an estimate of 80% coverage for out-of-network patients. These preventive care include oral exams (2 per year), cleanings (2 per year), bitewing x-rays, sealants (under age 16), and fluoride (under age 16). The Access plan also provides an estimated 80% in-network coverage for basic services and an estimated 60% out-of-network coverage. These basic dental services include dental fillings and simple extractions. The plan gives an estimate of 50% in-network coverage and 30% out-of-network coverage for major services such as crowns, root canals, dentures, oral surgeries, bridges, periodontics, dental implants, teeth whitening, and panoramic x-rays. The annual maximum benefit day one is $1,000. After year one, the maximum increases to $2,000. There's a $50 deductible per person for basic and major services combined with a maximum of three deductibles per family.

Ameritas Dental PrimeStar® Total

The Ameritas Dental PrimeStar® Total plan gives an estimated 100% coverage for preventive dental services such as dental exams (2 per year), cleanings (2 per year), and bitewing x-rays. The plan also offers an estimate of 90% coverage for basic dental services like fillings and simple extractions. The Total plan provides an estimate of 50% coverage for major services including crowns, root canals, dentures, oral surgeries, bridges, periodontics, dental implants, and panoramic x-rays. The annual maximum benefit day one is $2,000. After year one, the maximum increases to $2,500. There’s a $50 deductible per person for basic and major services combined with a maximum of three deductibles per family.

Ameritas Dental PPO Plan 3000

With Ameritas Dental PPO Plan 3000, there's an estimate of 100% in-network coverage and an estimated 80% out-of-network coverage for preventive dental care. The deductible is waived for preventive care. The plan also gives an estimated 80% coverage for basic services and an estimated 50% coverage for major dental procedures for both in- and out-of-network patients. The annual maximum benefit for in-network patients is $1,100 and $700 for out-of-network patients.

Ameritas Dental PPO Plan 3500

Ameritas Dental PPO Plan 3500 offers an estimate of 100% coverage of preventive care for in- and out-of-network patients. The deductible is waived for in-network patients but the deductible is applied for out-of-network patients. Plan 3500 also provides an estimated 80%-100% in-network coverage and an estimated 80% out-of-network coverage for basic dental services. An estimated 80% in-network coverage and an estimated 50% out-of-network are covered for major services under the 3500 plan. The annual maximum benefit for both in- and out-of-network patients is $1,100.

Ameritas Dental PPO Plan 4000

Ameritas Dental PPO Plan 4000 provides an estimated 100% in-network coverage and an estimated 80% out-of-network coverage for preventive services. The deductible is waived for in-network patients but the deductible is applied for out-of-network patients. The plan also gives an estimated 80%-100% in-network coverage and an estimated 80% out-of-network coverage for basic services. An estimated 50% are covered for major services for both in- and out-of-network patients. The annual maximum benefit for in-network patients is $1,300 and $1,100 for out-of-network patients.

Ameritas Dental PPO Plan 5000

With Ameritas Dental PPO Plan 5000, there’s an estimated 100% in-network coverage and an estimated 80% out-of-network coverage for preventive dental services. The deductible is waived for in-network patients but the deductible is applied for out-of-network patients. This plan also provides an estimated 80%-100% in-network coverage and an estimated 80% out-of-network coverage for basic services. The PPO plan 5000 offers an estimated 50% in- and out-of-network coverage for major services. The annual maximum benefit for in-network patients is $1,700 and $1,400 for out-of-network patients.

Are you looking for a dentist that Ameritas Dental is accepted? Rohan Toor Dental Care accepts Ameritas Dental.

Ameritas Dental tooth extraction cost coverage?

Ameritas Dental offers an estimated 50%-100% coverage for simple extractions depending on the plan and whether your provider is in-network or out-of-network. Some plans have no waiting period for basic services such as simple tooth extractions while others have a 6 month waiting period. Source

Ameritas dental covers Wisdom teeth removal?

Ameritas dental allows coverage for wisdom teeth removal through MedCost. This should be filed at the dentist as the primary insurer. Please give us a call to find out what might be covered for your specific situation. Source

Does Ameritas Dental cover X-Rays?

Ameritas dental offers an estimated 80%-100% coverage for bitewing x-rays (two films or four films) once a year. Ameritas Dental also provides an estimated 15%-50% coverage for full mouth or panoramic x-rays once every 5 years. Source

Ameritas Dental covers Braces?

Ameritas Dental Premier plan provides coverage for orthodontic services such as braces. The Premier plan offers an orthodontic lifetime maximum of $500 with a 12 month waiting period. The annual maximum benefit is $2,000 with a potential maximum benefit with dental rewards of $3,000. Source

Is Invisalign covered by Ameritas dental?

Ameritas Dental Premier plan offers coverage for orthodontic services like Invisalign. The plan gives an orthodontic lifetime maximum of $500 with a waiting period of 12 months. The annual maximum benefit is $2,000. The potential maximum benefit with dental rewards is $3,000. Source

What does Ameritas dental cover for dental implant?

Ameritas Dental PrimeStar® Access gives an estimate of 50% in-network coverage and 30% out-of-network coverage for major services such as dental implants. The annual maximum benefit day one is $1,000. After year one, the maximum increases to $2,000. There's a $50 deductible per person for basic and major services combined with a maximum of three deductibles per family. Ameritas Dental PrimeStar® Total also provides an estimate of 50% coverage for teeth implants. The annual maximum benefit day one is $2,000. After year one, the maximum increases to $2,500. There’s a $50 deductible per person for basic and major services combined with a maximum of three deductibles per family. Source

Does Ameritas Dental cover dentures?

With Ameritas Dental Premier Plan, there’s an estimate of 100% fee schedule for major services (Type 3) such as maxillary partial denture and even denture repair. On the other hand, Ameritas Dental Basic Plan offers an estimate of 20% coverage for maxillary partial denture and an estimated 40% coverage under the Ameritas Dental Elite Plan. The Ameritas Dental PrimeStar® Value plan provides an estimated 15% coverage for major procedures like dentures. Furthermore, Ameritas Dental PrimeStar® Access gives an estimate of 50% in-network coverage and 30% out-of-network coverage for dentures. Moreover, Ameritas Dental PrimeStar® Total provides an estimate of 50% coverage for dentures. Source

How much does Ameritas Dental cover for Veneers?

Ameritas dental may cover part of your veneers depending on your specific plan and coverage. Please give us a call to find out what might be covered for your specific situation.

Ameritas dental accepted for Gum Grafts?

Ameritas Dental offers an estimated 15%-50% coverage for periodontics. Please contact your insurer to determine whether gum grafts are included in your plan. You can also give us a call to find out what may be covered for your specific situation.

Does Ameritas Dental cover Cleaning and Tooth Fillings?

Ameritas Dental provides an estimate of 80%-100% coverage for preventive care like dental cleanings twice a year depending on your plan and coverage. Basic services such as tooth fillings are estimated to be 50%-90% covered. The waiting period will depend on your plan.

For latest information, please visit: https://www.ameritas.com/OCM/GetFile?doc=601511 and https://www.calchoice.com/getattachment/d24f9114-b170-4f71-9f53-23736ea43974/Dental_4000_5000_20220101.pdf for more details.

DISCLAIMER: This information is subject to change on behalf of the insurance company. We are providing this as an informal guide to help you determine which services at our office are covered by your insurance. For more detailed information, please see the insurance company’s website or call the customer service or member services number listed on most insurance ID cards. Updated as of 3/27/2023. The above logo & trademarks are property of Ameritas Dental.