Regular dental exams are an important part of maintaining your overall health. Chipotle provides a Base Plan option as well as a Buy-Up option with richer coverage including adult orthodontia.

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Dental Base Plan

In-Network

Annual Deductible

$50 individual
$150 family

Dental Maximum Benefit

$500 per covered individual

Preventive

No charge

Basic

You pay 50% after deductible

Major

Not covered

Orthodontia

Covered children up to age 19:
Covers 50% up to lifetime maximum of $1,000 when using
in-network services
‍Adults: Not covered

Your Bi-Weekly Cost for Coverage

You

$2.93

You + Spouse/Domestic Partner

$5.79

You + Child(ren)

$6.81

You + Family

$9.86

Anthem

Phone: 855-653-4066

Web: anthem.com

Dental