Individual Plans

Enroll in Complete Care

TDA - Complete Care
DHMO / Co-Payment Plan

Click to see plan details

Preventive

Office visit, cleaning, oral exam and x-rays
In Network
100% after $25 co-pay.
2 visits in 12 months per member.
Out Network
None

Basic

Simple extractions and fillings
In Network
80% average savings
Out Network
None

Major

Crowns, bridges, dentures, inlays, periodontics, and oral surgery
In Network
50% average savings
Out Network
None

Orthodontics

In Network
25% average discount at participating TDA Provider
Out Network
None

Click here to obtain a complete listing of benefits
Click to search participating providers

25% discount on specialist services: Periodontist, Endodontist, Prosthodontist, Pediatrics and Oral Surgeon at In-Network providers.

TDA - Complete Care Plan insured and underwritten by Total Dental Administrators. For complete fee schedule please refer to the plan certificate.

Payment Details

Individual $17.83
Individual + 1 $35.62
Individual + 2 or more $57.52
A 10.00 Non Refundable administration fee will be added to your first months transaction.

All Plans allow Monthly payments by Visa, MasterCard, Discover or automatic bank account withdrawals.

Waiting Period

None

Deductible

None

Annual Maximum

None
Enroll in UT DentalCOMPANION

UT DentalCOMPANION
PPO / Indemnity Plan

Click to see plan details

Preventive

Office visit, cleaning, oral exam and x-rays
Examples:
D0120 (Periodic Oral Exam) Plan Allows $25
D1110 (Prophylaxis - Adult) Plan Allows $56
No Deductible or Waiting Period on Preventative Services

Basic

Simple extractions and fillings
Examples:
D2140 (Amalgam - One Surface Prim/Perm) Plan Allows at least $56
D3330 (Molar Root Canal) Plan Allows at least $310

Major

Crowns, bridges, dentures, inlays, periodontics, and oral surgery
Examples:
D2752 (Crown - Porcelain Fused to Noble Metal) Plan Allows at least $309
D5120 (Complete Denture - Mandibular) Plan Allows at least $362

Orthodontics

In Network
25% discount at participating TDA Provider
Out Network
No Out of Network Benefit
Click here to obtain a complete listing of benefits Click to search participating providers (Utilizes TDA - PPO Network)

Enrolling in the Vantage Care plan provides access to Value Added benefits such as Hearing, Vision, and Prescription Discounts!

Vantage Care Plan is underwritten by Companion Life Insurance Company.

Payment Details

Individual $39.50
Individual + 1 $75.95
Individual + 2 $124.50
A 10.00 Non Refundable administration fee will be added to your first months transaction.
Rates for 65 and older
Individual $47.40
Individual + 1 $90.20
Individual + 2 $139.60
A 10.00 Non Refundable administration fee will be added to your first months transaction.

All Plans allow Monthly payments by Visa, MasterCard, Discover or automatic bank account withdrawals.

Waiting Period

12 months on major services

Deductible

$25 per subscriber per calendar year for basic and major services

Annual Maximum

$1,000 per subscriber