Dental
Good dental care improves your overall health. Our dental plan is designed to help you maintain a healthy smile through regular dental care and fix any problems as soon as they occur.
The Standard (Ameritas Dental Network)
Lemek LLC offers you two dental plan options. Your dental plan provides coverage for routine exams and cleanings and pays for a portion of other services, as shown in the chart below. Once you are enrolled in the plan, your Dental ID card is provided electronically. Go to www.standard.com to login for dental benefits.
Enhanced Benefits effective August 1, 2024
Both dental plans now have a higher Annual Maximum Benefit.
- PPO Low plan annual maximum: $1,500
- PPO High plan annual maximum: $2,000
Where to Find a Dentist with The Standard
Employees and dependents have access to an extensive nationwide network of dentists through the Ameritas Dental Network. The Standard Dental plan through Ameritas Dental Network includes both in and out-of-network coverage. You will receive the greatest cost savings by going to an in-network dentist. To find member dentists in your area, visit http://www.standard.com/services and click on “Find a Dentist”. On the Ameritas dental network page, add your zip code then select Classic PPO network.
Dental Benefits
| PPO Low | PPO High | |||||||
|---|---|---|---|---|---|---|---|---|
| In-Network (You Pay) |
Out-of-Network* (You Pay) |
In-Network (You Pay) |
Out-of-Network* (You Pay) | |||||
| Annual Deductible | ||||||||
| Individual | $25 | $50 | $50 | $50 | ||||
| Family | $75 | $150 | $150 | $150 | ||||
| Annual Maximum Benefit | ||||||||
| Per Person | $1,500 | $2,000 | ||||||
| Services | ||||||||
| Preventive and Diagnostic Care | Plan pays 100%, no deductible | Plan pays 80%, no deductible | Plan pays 100%, no deductible | Plan pays 100%, no deductible | ||||
| Basic Treatment | Plan pays 80% | Plan pays 60% | Plan pays 80% | Plan pays 80% | ||||
| Major Treatment | Plan pays 50% | Plan pays 35% | Plan pays 50% | Plan pays 50% | ||||
| Orthodontia Benefit | ||||||||
| Orthodontia Child Only | No coverage | No coverage | Plan pays 50% | Plan pays 50% | ||||
| Ortho Lifetime Maximum | No coverage | No coverage | $2,000 per person | |||||
* Balance billing may apply.
Dental Cost of Coverage
| The Standard Dental | PPO Low | PPO High | ||
|---|---|---|---|---|
| Your Bi-monthly Deductions | ||||
| Employee Only | $6.00 | $9.50 | ||
| Employee + Spouse | $14.00 | $20.50 | ||
| Employee + Child(ren) | $16.25 | $29.00 | ||
| Employee + Family | $22.00 | $37.75 | ||
2024 Lemek LLC Standard Dental Low Plan
