HALO offers two Dental PPO (DPPO) plans, a high or low plan. Both have the same network but differ in how much they pay towards your dental care. And while you can see any dentist under each plan, you get the most bang for your buck by staying in network.
You can find in-network dentists here.
The tables below show the difference between our two dental plans. For additional plan details, please refer to the plan documents under the “Plan Documents & Contact Information” section below.
The amounts below represent the employee bi-weekly contribution for the Dental Plans. [/su_spoiler]
In-Network & Out-of-Network* Low Plan High Plan
Calendar Year Deductible
Individual $100 $50
Family $300 $150
Preventive Care Waived Waived
Calendar Year Out-of-Pocket Maximum
Regular Services $1,000 per Person $1,250 per Person
Covered Services
Preventative Services 90% 100%
Basic Services 70% 80%
Major Services 50% 50%
Orthodontia (coverage for dependent children to age 19) Not Covered 50%
Orthodontic Lifetime Maximum Not Covered $2,000 per Dependent
Covered Services & Frequency Limitations
Oral Examinations 1 in 6 months
Full Mouth X-rays 1 in 36 months
Bitewing X-rays
(Adult/Child) 1 in 6 months
Cleanings 1 in 6 months
Coverage Tier Low Plan High Plan
Employee Only $11.36 $13.70
Employee + Spouse $20.46 $24.66
Employee + Child(ren) $28.06 $39.84
Employee + Family $39.43 $53.55