Large Businesses (100+ Employees)
Fully Insured PPO and Managed Care Plans
These Fee-For-Service and Managed Care programs provide two important features needed by all organizations - solid administrative support and proven cost control. Our experience is unsurpassed when it comes to designing and implementing custom benefit packages. We can help you select from, and control, a broad range of features including deductibles, maximums, waiting periods, reimbursement levels, eligibility requirements, exclusions and limitations. We provide you with timely information and will deliver superior service to your members. Call us at
1-800-468-0466 to speak with one of our Sales Specialists.
Self Insured / ASO Plans
Our Administrative Service Only (ASO) plans provide you with expert guidance and superior management. We can help you design and implement a customized program with a wide range of features. Because dental is our only business, we will pay attention to the details and follow your plan specifications to the letter. When you combine our skills with current technology, the result is quality service at a reduced cost. [Learn more]
Plan Comparison - Healthplex Large Business Plans
| Healthplex Large Business Plans | |||
|---|---|---|---|
| Custom DHMO Plan |
Custom PPO Plans |
ASO Plans | |
| Rates | |||
| Single | Rates vary based on custom plan chosen. |
Rates vary based on custom plan chosen. | Low monthly administrative fee per member |
| Two Party | |||
| Family | |||
| Type of Plan | In-Network Only | In-Network and Out-of-Network | In-Network and/or Out-of-Network |
| Office Visit Fee | $0.00 | $0.00 | $0.00 |
| Maximums | None | Maximums range from $1000 to $3000 | Maximums and deductibles can be customized to the group's specific needs. |
| Waiting Periods | None | Based on group's discretion | |
| Claim Forms | No | Yes | Yes |
| Services | |||
| Type I: Diagnostic & Preventive | No Copayments | Plan Offerings Plan I: 100/100/100 Plan II: 100/80/50 Plan III: 80/80/80 Plan IV: 100/80/0 Plan V: 50/50/50 Plan X: 100/100/50 Plan XI: 100/0/0 Plan options include: Ortho - 50%, with a $1000 max or No Ortho - $3350 |
Reimbursement levels can be customized based on any group's specific needs. |
| Type II: Basic | Plans range from no copayment to plans with low copayments for these services. |
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| Type III: Major | |||
| Type IV: Orthodontia | Panel | Dentcare Panel IHS Panel |
Healthplex PPO Panel Healthplex Liberty Panel Healthplex Metro Panel |
Healthplex PPO Panel Healthplex Liberty Panel Healthplex Metro Panel |
Vision Benefit | No | No | No |