DENTAL PLAN DENTAL PPO In-Network Deductible $50/$150 Deductible waived for preventive services Out-of-Pocket Max $2,000 Preventive Care (cleanings) 100% covered Basic Care (fillings) 80% covered Major Care (crowns, dentures) 50% covered Orthodontia 50% covered for children up to lifetime max of $1,500 Deductible $50/$150 Deductible waived for preventive services 14 // 2022 Employee Benefit Guide