All benefits
Principal
Dental
Nemko offers a dental PPO plan through Principal covering a wide range of dental services. You have the freedom to go in- or out-of-network for care.
What the plan covers
Calendar year maximum
- EPO
- $2,000
- DPPO In-Network
- $2,000
- DPPO Out-of-Network
- $2,000
Deductible — individual
- EPO
- $50
- DPPO In-Network
- $50
- DPPO Out-of-Network
- $50
Deductible — family
- EPO
- $150
- DPPO In-Network
- $150
- DPPO Out-of-Network
- $150
Deductible waived for preventive
- EPO
- Yes
- DPPO In-Network
- Yes
- DPPO Out-of-Network
- No
Preventive & diagnostic
- EPO
- 100%
- DPPO In-Network
- 100%
- DPPO Out-of-Network
- 100% of UCR
Basic services
- EPO
- 90%
- DPPO In-Network
- 80%
- DPPO Out-of-Network
- 80%
Major services
- EPO
- 60%
- DPPO In-Network
- 50%
- DPPO Out-of-Network
- 50%
Orthodontia (children only)
- EPO
- 50%; $1,500 max
- DPPO In-Network
- 50%; $1,500 max
- DPPO Out-of-Network
- 50%; $1,500 max
Out-of-network services are paid on reasonable and customary amounts. You are responsible for any balance after the plan pays.
Good to know
- If you visit an out-of-network dentist, services are based on reasonable and customary amounts, and you are responsible for any amount owed after insurance has paid.
- Orthodontia is available for children only, at 50% coinsurance with a $1,500 lifetime maximum.
- Dental member services: (888) 702-4171
Documents
Need help deciding?
Benefits Advocacy Team can explain coverage and walk through options.