Benefit Overview
The ADN Dental Plan helps employees and their families maintain good oral health through affordable coverage for preventive, restorative, and major dental services. Coverage is provided through the ADN Dental Network and DenteMax PPO Networks, offering flexibility and savings when you visit participating dentists.
Available to full-time employees regularly scheduled to work 30 or more hours per week. Coverage is also available for eligible spouses and dependent children up to the age limit stated in the plan documents.
Key Details
The dental plan includes coverage for routine exams, cleanings, fillings, crowns, and orthodontic care for dependents. There are no deductibles, waiting periods, or missing tooth clauses, making it easy to access care as soon as you’re enrolled.
| Service | Benefit |
| Annual Maximum | $1,000 per eligible individual for covered class I, II, and III services |
| Lifetime Maximum | $2,000 per eligible individual for covered class IV services |
| Class I Preventative Services – 80% | |
| Oral Examinations & Evaluations | Twice per plan year (regardless of specialty) |
| Prophylaxis (Cleaning) | Twice per plan year (includes Periodontal Maintenance) |
| Topical Application of Fluoride | Twice per plan year to age 19 |
| Space Maintainers | Once per area per lifetime, up to age 14 |
| Class II Restorative Services – 80% | |
| Bitewing X-Rays | Once per plan year |
| Full Mouth Series or Panoramic X-Rays | Once per 60 months |
| Composite and Amalgam fillings | Once per tooth surface per 24 months |
| Onlays and Crowns | Once per permanent tooth per 60 months |
| Class III Major Services – 80% | |
| Complete and Partial Removable Dentures | Once per arch per 60 months |
| Fixed Partial Dentures (Bridges) | Once per area per 60 months |
| Endosteal Implants | Once per permanent tooth per 60 months |
| Class IV Orthodontic Services – 50% | |
| Limited and Interceptive Treatment | Removable and Fixed Appliance Therapy, up to age 19 |
| Comprehensive Treatment | Fixed Appliance Therapy, up to age 19 |
| Not Covered | Sealants, Eposteal & Transosteal Implants, TMJ/TMD Treatment, Cosmetic Treatment |
For more information, please refer to the Documents section below.
How the Plan Works
When you visit an in-network dentist, your out-of-pocket costs are lower, and claims are handled automatically. Preventive services are covered at 80%, which means you’ll pay little to nothing for checkups and cleanings. Major services like crowns or dentures are also covered at 80%, while orthodontic treatment for dependents is covered at 50% up to the lifetime maximum.
Coverage Highlights
- No deductible or waiting period for services.
- Preventive care covered at 80%, encouraging regular dental checkups.
- Orthodontic coverage for dependents up to age 19.
- Missing tooth clause does not apply.
- Predetermination recommended for treatment plans exceeding $250.
Who This Benefit Is For
This plan is ideal for employees and families who want affordable, consistent coverage for both routine and major dental care. It’s especially beneficial for households with dependents who may need orthodontic treatment.
Documents
Dental Insurance
| Title | Download |
|---|---|
| ADN Dental Plan | Preview |
