Dental
Base Dental Plan
A healthy smile is key to your overall physical health.
The plan pays 100% for preventive dental services, including oral exams, cleanings, x-rays, oral cancer screenings and fluoride treatments. Depending on your dentist’s network participation, most other basic and major dental services are covered as well.
When you receive care from a dentist who is in-network with your Anthem Dental plan, you will likely save the most money out-of-pocket. Ensure that your dentist is still in your network when you call to schedule or confirm your next appointment.
You can view your benefit information 24/7 on the Anthem, which is same for Medical, Dental, and Vision. Employees may also download the Sydney Health App to access all as well.
Download Dental Summary of Benefits Base Plan (2025)
Enhanced Dental Plan
Why choose an enhanced dental plan?
If you foresee the need for a higher annual benefit maximum and/or orthodontia coverage for children age 18 and under, this may be the dental plan for you.
The plan offers the same services as the base plan but is enhanced because of an increase to the annual maximum benefit per person to $1500 and includes coverage for orthodontic care as outlined in the summary.
Download Dental Summary of Benefits Enhanced Plan (2025)
| IN NETWORK | OUT OF NETWORK | |
Preventive Dental Services Includes diagnostic and preventive services (oral exams, cleanings and fluoride treatments twice per calendar year, space maintainers once per area for people up to age 16, sealants, oral cancer screenings, x-rays) | 100% | 100% |
Basic Dental Services Includes temporary pain relief, fillings, root canals, treatment of gum disease, extractions and dental surgery, as well as repairs to crowns, bridges, implants and dentures | 90% Coverage, 10% Patient | 80% coverage, 20% Patient |
Major Dental Services Includes crowns, bridges, implants and dentures | 60% Coverage, 40% Patient | 50% Coverage, 50% Patient |
| BASE DENTAL PLAN | ENHANCED DENTAL PLAN | |
| Calendar Year Deductible | $50 Individual, $100 Family | $50 Individual, $100 Family |
|---|---|---|
| Annual Maximum Benefit | $1,000 | $1,500 |
| Orthodontic Services (Examinations, treatment, repositioning of the teeth) | Not Covered | 50% coverage (Lifetime Max of $1,500 per dependent age 18 and under) |
| Weekly | Bi-Weekly | Seasonal | |
| Employee Only | $1.08 | $2.16 | $4.32 |
|---|---|---|---|
| Employee + Spouse or Domestic Partner | $2.14 | $4.28 | $8.57 |
| Employee + Child(ren) | $2.78 | $5.57 | $11.14 |
| Family | $3.88 | $7.76 | $15.53 |
| Weekly | Bi-Weekly | Seasonal | |
| Employee Only | $2.81 | $5.62 | $11.24 |
|---|---|---|---|
| Employee + Spouse or Domestic Partner | $5.58 | $11.15 | $22.30 |
| Employee + Child(ren) | $8.66 | $17.33 | $34.66 |
| Family | $11.53 | $23.07 | $46.14 |
While rates for domestic partner coverage are the same as those for covering your spouse or family, there are two income tax implications you should be aware of: 1) the premium amount your employer pays to cover your domestic partner and/or your partner’s children is considered taxable income (i.e. imputed income) and is reported as such on your Form W-2; and, 2) the portion of the premium amount that you pay related to your domestic partner is deducted from your pay on an after-tax basis rather than a pre-tax basis. Both implications will result in additional income taxes withheld from your pay.
Page Contents
Resources
THG Dental Base Plan Summary
Learn More
THG Dental Buy Up Summary
Learn More
FAQ: Changing from Delta Dental to Anthem for Dental Coverage
Learn More
FAQ: Anthem Dental Orthodontic Services
Learn More
Need Help? Reach out to Employee Hub
Phone: 1-800-303-0408 | Email: [email protected]
