CompBenefits Dental Plan

CompBenefits is a preferred provider network of dental facilities.

Participants must choose a CompBenefits participating dentist (Click here for "PROVIDERS") then put in your zip code, CompBenefits will give you a list of dental providers and a map of their locations.
(The dental facility number must be included on your Enrollment Form.)

After you have selected a provider, please call that provider to verify that new patients are being accepted.

All family members must use the same dentist.

All benefits are available as of your effective date.

Co-payments are listed on Select C250 Schedule of Benefits chart.

Coverage will begin after the application and premium payment have been received. See the Enrollment Chart for application deadlines and coverage effective dates.

An ID card and Certificate of Insurance will be issued to each participant.

CompBenefits is available in the following states:

Mass Benefits Consultants, Inc. handles all enrollment and billing. If you have any questions, please e-mail us (and leave a daytime phone number).

With CompBenefits, you get great benefits and you save money. It's a smart, low cost way to regular dental care.

Bi-Weekly Premium Rates for the Select C250 Plan: State Rate Rate Rate   Employee Only Employee + 1 Dependant Employee + Family AL $7.00 $13.00 $17.00 AR $11.00 $21.00 $34.00 FL $7.00 $13.00 $17.00 GA $7.00 $13.00 $17.00 IL $7.00 $12.00 $16.00 IN $7.00 $13.00 $17.00 KS $7.00 $13.00 $17.00 KY $7.00 $13.00 $17.00 LA $7.00 $13.00 $17.00 MO $7.00 $13.00 $17.00 MS $7.00 $13.00 $17.00 NC $7.00 $12.00 $16.00 OH $7.00 $13.00 $17.00 TN $7.00 $13.00 $17.00 TX $7.00 $13.00 $17.00 WV $7.00 $13.00 $17.00

Monthly Premium Rates for the Select C250 Plan: State Rate Rate Rate   Employee Only Employee + 1 Dependant Employee + Family AL $16.78 $28.10 $37.74 AR $24.36 $45.84 $75.48 FL $16.78 $28.10 $37.74 GA $16.78 $28.10 $37.74 IL $16.78 $28.10 $37.74 IN $16.78 $28.10 $37.74 KS $16.78 $28.10 $37.74 KY $16.78 $28.10 $37.74 LA $16.78 $28.10 $37.74 MO $16.78 $28.10 $37.74 MS $16.78 $28.10 $37.74 NC $16.78 $28.10 $37.74 OH $16.78 $28.10 $37.74 TN $16.78 $28.10 $37.74 TX $16.78 $28.10 $37.74 WV $16.78 $28.10 $37.74

Quarterly Premium Rates for the Select C250 Plan: State Rate Rate Rate   Employee Only Employee + 1 Dependant Employee + Family AL $46.34 $80.30 $109.22 AR $69.08 $133.52 $222.44 FL $46.34 $80.30 $109.22 GA $46.34 $80.30 $109.22 IL $46.34 $80.30 $109.22 IN $46.34 $80.30 $109.22 KS $46.34 $80.30 $109.22 KY $46.34 $80.30 $109.22 LA $46.34 $80.30 $109.22 MO $46.34 $80.30 $109.22 MS $46.34 $80.30 $109.22 NC $46.34 $80.30 $109.22 OH $46.34 $80.30 $109.22 TN $46.34 $80.30 $109.22 TX $46.34 $80.30 $109.22 WV $46.34 $80.30 $109.22

Compare these dental costs to determine your average savings.
This example shows you how CompBenefits can save you money for common dental services for you and your family:

	Normal Dental Fees*	Your Cost with CompBenefits Coverage	You Save
Office Visit	$8.00	$5.00	$3.00
Initial Office Visit	$20.00	$0.00	$20.00
Periodic Oral Exam	$24.00	$0.00	$24.00
X-Ray, Panoramic	$24.00	$0.00	$24.00
Teeth Cleaning (twice a year)	$48.00	$0.00	$48.00
Flouride Application	$20.00	$0.00	$20.00
Extraction Single Tooth	$79.00	$15.00	$64.00
Fillings, Amalgam - One Surface	$72.00	$12.00	$60.00
Root Canal, molar	$375.00	$250.00	$125.00
Crown	$667.00	$275.00	$392.00
TOTALS	$1,399.00	$557.00	$842.00

*estimated average charge for zip code area 300

COMPBENEFITS DENTAL PLAN

(All forms are in PDF format. If you cannot
print a form, please call 1-800-221-3083
and we will be glad to mail forms to you.)

Form / Link	Purpose
Enrollment Form	To participate in the CompBenefits Dental Plan, an Enrollment Form must be completed, signed and mailed to Mass Benefits Consultants, Inc. You must choose a dentist and include his/her ID Number on the Enrollment Form.
PROVIDERS	This link connects you to CompBenefits website. Enter your zip code to loca