The TriNet dental carriers—Aetna, Delta Dental, Guardian and MetLife—each offer two national dental PPO plans. In addition, Aetna and Delta Dental offer a DMO in many states.
Feature |
Deductible |
Preventive Services |
Other Services |
Orthodontia Coverage |
PPO 50* PPO |
$50 single/$150 family |
Fully covered |
10%–35% |
Yes |
PPO 100* PPO |
$100 single/$300 family |
Fully covered |
30%–50% |
No |
DMO** |
None |
Fully covered |
Copays vary according to schedule |
Yes |
The Aetna DMO® is provided in the following states: AZ, CA, CO, CT, DC, DE, FL, GA, HI, IA, ID, IL, IN, KS, KY, MD, MA, MI, MN, MO, NE, NC, NM, NV, NJ, NY, OH, OK, OR, PA, RI, TN, TX, UT, VA, WA, WI, WV. The DeltaCare® USA DMO is provided in the following states: AL, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, IL, IN, KS, KY, LA, MD, ME, MI, MO, MS, NC, NH, NV, NJ, NM, NY, OH, OK, OR, PA, RI, SC, TN, TX, UT, WA, WI, WV. |
As you consider each option, keep in mind that:
See tips for choosing dental coverage.
Dental PPO: Gives you the flexibility to receive care from any provider, but features a network of providers who agree to charge reduced rates negotiated by the carrier. Once you meet the plan's deductible, the plan benefits will take effect and you typically pay a percentage for the cost of most services, called "coinsurance." (You can also receive care from out-of-network providers, but you pay a lower percentage when you see providers in the plan's network.)
DMO: Offers care through a network of providers, but no benefits are paid for care received outside the plan's network. For most services, you will pay a flat fee called a "copay."