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 Standard | Dental Enhanced | |||
|---|---|---|---|---|
| IN-NETWORK | OUT-OF-NETWORK * | IN-NETWORK | OUT-OF-NETWORK * | |
| Annual Deductible | $50 individual / $100 family | None | ||
| Annual Benefit Maximum | $1,500 per person | $2,250 per person | ||
| Orthodontic Lifetime Benefit Maximum | $1,500 per person | $1,750 per person | ||
|
Diagnostic and Preventive Services
|
100% (deductible waived) | 100% (deductible waived) | 100% | 100% |
|
Basic Restorative Services
|
Anthem pays 80% | Anthem pays 80% | Anthem pays 80% | Anthem pays 80% |
|
Other Basic and Major Services
|
Anthem pays 50% | Anthem pays 50% | Anthem pays 80% | Anthem pays 80% |
| Oral Surgery | Anthem pays 80% | Anthem pays 80% | Anthem pays 80% | Anthem pays 80% |
| Orthodontic Services (adults and children) |
Anthem pays 50% | Anthem pays 50% | Anthem pays 50% | Anthem pays 50% |
* 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 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 |
You will receive a new dental ID card only if you are a new participant or change your election 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.