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Dental Insurance

2024 Dental Premiums

Per Pay Period 









Procedure Coverage and Limits (Percentage shown per covered person)

Type I - Preventive Procedures: 100% Coverage

  • Oral examinations
  • Cleanings 
  • X-ray examinations

Type II - Basic Procedures: 80% Coverage

  • Fillings
  • Oral surgery (excluding surgical removal of impacted teeth)
  • Simple extractions
  • Stainless steel crowns

Type III - Major Procedures: 50% Coverage

  • Bridges
  • Crowns, inlays and onlays
  • Dentures
  • Implants

Type IV - Orthodontics Procedures: 50% Coverage

Examples are limited and do not include all applicable services. 

The deductible (per person per calendar year) does not include Type I Services and has a benefit limit of $50. The calendar year maximum for Types I, II and III combined per covered person has a benefit limit of $1,500. The lifetime maximum (orthodontics per covered person) for Type IV has a benefit limit of $1,500. 

For more information about Phelps Health's benefits, please contact Cathy Moore at (573) 458-7168 at

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