Dental Plans
Principia offers two dental plans through SunLife that provide cost-effective options for your dental needs, from regular cleanings to braces. You can go to the dentist of your choice, but you’ll receive the greatest benefit if you select an in-network provider.
To locate a provider, visit www.sunlife.com/findadentist. Select PPO Plans, then “Sun Life Dental Network.”
Dental Benefits
Dental Plan Highlights | Dental Low Plan | Dental High Plan | ||
---|---|---|---|---|
Dental Plan Highlights | Dental Low Plan | Dental high Plan | ||
Plan Year Deductible Individual / Family |
$50 / $150 | $50 / $150 | ||
Preventive Care (Tier 1) 2 exams/cleanings per calendar year |
100% Deductible waived | 100% Deductible waived | ||
Basic restorative care (Tier 2) Fillings, minor extractions |
80% | 90% | ||
Major restorative care (Tier 3) Root canals, major extractions |
50% | 60% | ||
Plan Year Maximum Benefit | $1,000 | $1,500 | ||
Orthodontia Adult and Child |
None | Covered at 50%, up to lifetime maximum of $1,000 | ||
Out-of-Network Benefits Deductible Tier 1 Tier 2 Tier 3 |
$100 / $300 80% 70% 50% |
$50 / $150 100% 80% 50% | ||
Monthly Premiums | ||||
Employee | $24.12 | $45.56 | ||
Employee + Child(ren) | $61.10 | $97.04 | ||
Employee + Spouse | $48.72 | $82.64 | ||
Family | $91.46 | $139.10 |
Know what’s covered before you get dental care
Before you receive dental care, work with your dental provider to get a “predetermination of benefits” from SunLife. This ensures that you and your dental provider understand what costs will be covered by the Principia dental plan and what costs will be your responsibility.
Need braces?
Orthodontia is covered only on the High Plan.