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DentalWise 2000
Plan Type DPPO
Coinsurance Preventive - 100%
Basic - We pay: 60% after deductible in first policy year, 80% after deductible in second policy year and after.
Major - We pay: 15% after deductible in first policy year, 50% after deductible in second policy year and after.
Deductible $100 (per person, per policy year)
Annual Maximum Benefit We pay up to: $2,000 per person, per policy year. $1,500 lifetime maximum, per person applies separately for implants.
Office Visit
Find Dentists 		N/A
Primary Benefits
Teeth Cleanings We pay: No deductible or copay, 100% coinsurance (twice per policy year)
Restorative Dentistry/Fillings We pay: 60% coinsurance after deductible in first policy year, 80% coinsurance after deductible in second policy year and after.
Oral Surgery We pay: 15% coinsurance after deductible in first policy year, 50% coinsurance after deductible in second policy year and after.
Extractions Simple Extractions:
We pay: 60% coinsurance after deductible in first policy year, 80% coinsurance after deductible in second policy year and after. Surgical Extractions:
We pay: 15% coinsurance after deductible in first policy year, 50% coinsurance after deductible in second policy year and after.
X-Rays We pay: No deductible or copay, 100% coinsurance
Crowns We pay: 15% coinsurance after deductible in first policy year, 50% coinsurance after deductible in second policy year and after.
Root Canals We pay: 15% coinsurance after deductible in first policy year, 50% coinsurance after deductible in second policy year and after.
Periodontics We pay: 15% coinsurance after deductible in first policy year, 50% coinsurance after deductible in second policy year and after.
Dentures We pay: 15% coinsurance after deductible in first policy year, 50% coinsurance after deductible in second policy year and after.
Topical Fluoride Fluoride treatments, limited to insured persons under the age of 16, limited to 2 times per policy year
Sealant Sealant, limited to insured persons under the age of 16 and once per first and second permanent molar every 36 months. Deductible waived.
Bridges We pay: 15% coinsurance after deductible in first policy year, 50% coinsurance after deductible in second policy year and after.
Endodontics We pay: 15% coinsurance after deductible in first policy year, 50% coinsurance after deductible in second policy year and after.
Additional Information
A.M. Best Rating A+ as of 12/14/2023
Electronic Signature for Application Available Yes
Details and documents about this plan
View Plan Brochure Exclusions and Limitations

Important notices and disclaimers

  • The information shown here is a summary of benefits for informational purposes only. Review the official plan documents (such as evidence of coverage, plan brochure, or insurance policy) for a detailed description of coverage benefits, limitations, and exclusions. Only the terms and conditions of coverage benefits listed in the policy are binding.
  • The benefits listed may be contingent on your use of physicians, hospitals, dentists and services within the specific insurance company's provider network.
  • The Copayment, Deductible, and Coinsurance amounts are your share of the costs for covered benefits. These amounts are subject to change.
  • The quotes or rates shown above are estimates only. Your premium is subject to change based on your medical history (pursuant to state law of residence), the underwriting practices of the insurance company, the optional benefits you selected, if any, and other relevant factors, such as changes in rates which take effect before your requested effective date. The insurance company always determines your actual premium. Insurance companies reserve the right to change the terms of a policy upon proper notification.

Carrier specific notices, disclaimers and fees

  • UnitedHealthcare - Golden Rule Insurance Company, a UnitedHealthcare company, is the underwriter of these plans. This product is administered by Dental Benefit Providers, Inc.
  • UnitedHealthcare - This screen is intended only as general information. It presents only a brief overview of some of the standard benefits of the product(s) shown. Optional benefits may be available for additional premium.
  • UnitedHealthcare - Before you apply, please use the link(s) provided to download and review the product information for a more complete explanation of benefits, exclusions (including any that may apply to preexisting conditions), limitations, terms under which the product(s) may not be renewed or benefits may be reduced, and any state variations applicable to any of these items.
  • UnitedHealthcare - You must meet our eligibility requirements in order to become insured, which may include medical underwriting. There is no coverage until we inform you in writing that your application has been processed and approved.
  • UnitedHealthcare - To be considered for reimbursement, expenses must qualify as "covered expenses" under the policy, and are also subject to all other policy provisions, such as reasonable and customary or eligible expense limits, or whether or not they were medically necessary.
  • UnitedHealthcare - Estimated Premium shown is based on the information you provided, and is subject to change based on the product(s) you select, optional benefits you select (if any), and other factors. We shall exclusively determine the premium actually required, and the effective date of any coverage issued.
  • UnitedHealthcare - These plans pay non-network provider benefits based on the network negotiated rate. Non-network dentists can bill a patient for any remaining amount up to the billed charge.