Dental Coverage

Your dental coverage is provided by Anthem. Genesys offers two different plans to ensure you and your family receive the level of coverage that is right for you. While you are free to visit any dentist you’d like, you may save money by visiting a provider that is within the Anthem network.

Dental coverage for employees residing in Hawaii is provided through the HMSA medical PPO Plan. Visit the Hawaii Employee Benefits page of this site to learn more.

Dental Standard Dental Enhanced
IN-NETWORK OUT-OF-NETWORK * IN-NETWORK OUT-OF-NETWORK *
Annual Deductible $50 individual / $100 family None
Annual Benefit Maximum $1,750 per person $2,500 per person
Orthodontic Lifetime Benefit Maximum $1,500 per person $1,750 per person

Diagnostic and Preventive Services

  • Periodic Oral Exam
  • Cleanings (Prophylaxis): 2 per 12 months
  • Bitewing X-rays: 1 per calendar year
  • Intraoral X-rays
Covered in full Covered in full Covered in full Covered in full

Basic Restorative Services

  • Fillings
  • Extractions
  • Root canals
Anthem pays 80% after deductible Anthem pays 80% after deductible Anthem pays 80% Anthem pays 80%

Other Basic and Major Services

  • Crowns
  • Prosthodontics (dentures, bridges, etc.)
  • Prosthetic Repairs
  • Endodontics (root canal)
  • Periodontics (scaling, root planning)
Anthem pays 50% after deductible Anthem pays 50% after deductible Anthem pays 80% Anthem pays 80%
Orthodontia
(adults and children)
Anthem pays 50% after deductible Anthem pays 50% after deductible Anthem pays 50% Anthem pays 50%
Orthodontia Lifetime Maximum $1,500 per person $1,500 per person $1,750 per person $1,750 per person

* Out-of-network coverage is based on the maximum allowed amount determined by Anthem. You may pay more out of pocket for providers that are not in the Anthem network.

Dental Premiums Per Semi-Monthly Pay Period

Dental Standard Dental Enhanced
Employee Only $4.00 $8.00
Employee + Child(ren) $11.00 $18.50
Employee + Spouse/Domestic Partner $11.50 $19.50
Family $18.50 $31.00

Your Dental ID Card

Everyone will receive a new dental ID card for 2022 even if you make no changes during open enrollment. If you need identification prior to receiving your card, contact Anthem at (877) 567-1804 or visit the anthem member website. Click here for instructions.