Plan Benefits

Welcome to the Dental Insurance information site for State of Florida Employees.

Calendar Year Deductible

Coverage Type

Deductible

Employee Only

$50

Employee + Spouse

$100 (2 family members must meet deductible) 

Employee + Child(ren)

$100 (2 family members must meet deductible) 

Employee + Family

$150 (2 family members must meet deductible) 

Coinsurance

 

Indemnity with PPO

Participating / Non Participating

Standard PPO

Participating / Non Participating

 

Preventive Plan PPO

Participating / Non Participating

Preventive Services

100/100 percent

100/80 percent

100/80 percent

Basic Services

80/80 percent

80/50 percent

80/50 percent

Major Services

50/50 percent

50/30 percent

No Benefit

Orthodontia Services

50/50 percent

50/30 percent

No Benefit

Calendar Year Maximum

 

Indemnity with PPO

Participating / Non Participating

Standard PPO

Participating / Non Participating

Preventive Plan PPO  Participating / Non Participating

Calendar Year Max

$2,000/ $2,000

$1,500/ $1,500

$1,000/ $1,000

Orthodontia Lifetime Maximum

 

Indemnity with PPO

Participating / Non Participating

Standard PPO

Participating / Non Participating

Preventive Plan PPO  Participating / Non Participating

Ortho Lifetime Max

$2,500/ $2,500

$2,000/$1,500

No Benefit