Small Businesses Dental Insurance Plan (2-9 Employees)
CapDent Dental Insurance Plan
The CapDent Plan is different from conventional dental programs with deductibles, maximums and other features that increase your out-of-pocket expenses. CapDent provides covered services through a network of participating dentists with no claim forms, lengthy predeterminations or waiting periods to cover pre-existing conditions.[Learn more]
CapDent Plus Dental Insurance Plan
Because affordability and choice are what members want in dental benefits, we put both into this enhanced dental plan. Sure to please purchasers as well as patients, the heart of this true point-of-service dental program is an affordable managed care plan using a network of participating dentists. Diagnostic and preventive services are covered in full, with minimal cost to patients for additional services. There are no deductibles, no maximums and no waiting periods for any treatment in-network. [Learn more]
CapDent Select Dental Insurance Plan
The CapDent Select Plan is different from conventional dental programs with deductibles, maximums and other features that increase your out-of-pocket expenses. CapDent Select provides covered services through a network of participating dentists with no claim forms, lengthy predeterminations or waiting periods to cover pre-existing conditions. For CapDent Select plans, members receive an increased benefit when seeing a participating PPO specialist, with a referral. [Learn more]
CapDent Plus Select Dental Insurance Plan
Because affordability and choice are what members want in dental benefits, we put both into this enhanced dental plan. Sure to please purchasers as well as patients, the heart of this true point-of-service dental program is an affordable managed care plan using a network of participating dentists. Diagnostic and preventive services are covered in full, with minimal cost to patients for additional services. There are no deductibles, no maximums and no waiting periods for any treatment in-network. For CapDent Plus Select plans, members receive an increased benefit when seeing a participating PPO specialist, with a referral. [Learn more]
OMNI Dental Insurance Plan
As the largest independent dental benefit company in the Northeast, Healthplex specializes in the design and administration of quality dental plans with comprehensive coverage and reasonable premiums. The OMNI Dental Plan is one of our most flexible programs and uses our largest network of participating dentists. If you are a small or large business owner looking to provide quality dental coverage to your employees, then the OMNI Dental Plan is for you. [Learn more]
Preferred Choice Dental Insurance Plan
If you are a small business owner looking to provide quality dental coverage to your employees then the Preferred Choice Dental Plan is for you. This PPO dental plan is designed with small businesses in mind, providing comprehensive dental benefits with very reasonable premiums. [Learn more]
Plan Comparison - Healthplex Small Business Dental Insurance Plans
| Healthplex Small Business Dental Insurance Plans | |||||||||
|---|---|---|---|---|---|---|---|---|---|
| CapDent NY CapDent NJ |
CapDent Plus1 | CapDent Select | CapDent Plus Select1 | Preferred Choice | OMNI PPO |
||||
| Rates | |||||||||
| Single | NY | 14.75 | $24.00 | $18.00 | $29.00 | $15.42 | $33.50 | ||
| NJ | $12.80 | N/A | N/A | N/A | N/A | ||||
| Two Party | NY | $25.00 | $41.00 | $31.00 | $52.00 | $30.38 | $65.00 | ||
| NJ | $25.65 | N/A | N/A | N/A | N/A | ||||
| Family | NY | $34.00 | $59.00 | $45.00 | $72.00 | $52.28 | $87.00 | ||
| NJ | $36.65 | N/A | N/A | N/A | N/A | ||||
| Type of Plan | In-Network Only | In/Out-of-Network | In Network | In/Out-of-Network | In/Out-of-Network | In/Out-of-Network | |||
| Office Visit Fee | $0.00 | $5.00 | $0.00 | $5.00 | $0.00 | $0.00 | |||
| Maximums | None5 | $1200 per person per year | $1250 per person per year | ||||||
| Deductibles (waived for Diagnostic & Preventive) | None5 | $40 Per person | $50 Individual $150 Family |
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| Waiting Periods2 | None5 | 12 Mos. Prosthetics 24 Mos. Ortho. |
12 Mos. Prosthetics | ||||||
| Claim Forms | None5 | Yes | Yes | ||||||
| Services | Reimbursements | ||||||||
| Type I: Diagnostic & Preventive | No Copays | No Copays | No Copays | No Copays | Set Reimbursements | 100% | |||
| Type II: Basic | Copays Apply 3 | Copays Apply | Copays Apply 4 | Copays Apply 4 | Set Reimbursements | 80% | |||
| Type III: Major | Copays Apply 3 | Copays Apply | Copays Apply 4 | Copays Apply 4 | Set Reimbursements | 50% | |||
| Type IV: Orthodontia | When services are rendered by a Capdent specialist, members receive a 25% discount off usual and customary fees. | $2910 Copay | $2910 Copay | Set Reimbursements | $2910 Copay | ||||
| Panel | CapDent Panel | CapDent Panel | General Dentist: CapDent Specialist: Healthplex PPO |
Healthplex PPO Panel | Healthplex PPO Panel | Vision Benefit | Yes | Yes | Yes | Yes | Yes | Yes |