AlaskaCare Dental Plan Comparison

Dental premiums

Individual Deductibles
Deductibles Premium Plan Standard Plan Preventive Plan
Annual Individual – Class I services None None $12.50*
Annual Individual – Class II and III (combined services) $12.50* $12.50* Not Covered
Annual Family Maximum $37.50* $37.50* $37.50*

*Adjusted for 6-month benefit year (July 1 through December 31, 2013)

Coinsurance
Coinsurance Premium Plan Standard Plan Preventive Plan
Class I (preventive) services 100% 100% 100%
Class II (restorative) services 85% 85% Not Covered
Class III (prosthetic) services 75% 50% Not Covered
Orthodontia 50% Not Covered Not Covered
Annual Maximums
Benefit Maximums Premium Plan Standard Plan Preventive Plan
Annual Individual Maximum $2500 $1500 $500
Orthodontia Individual Lifetime Maximum $2000 Not Covered Not Covered

You cannot change dental selection until first enrollment after you have been enrolled for two benefit years.