Dental

Description

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 Plan Comparison Chart

Plan Details

Dental Base Plan
In-Network

Dental Buy-Up Plan
In-Network

Annual Deductible

$50 individual
$150 family
$50 individual
$150 family

Dental Maximum Benefit

$500 per covered individual
$1,500 per covered individual

Preventive

No charge
No charge

Basic

You pay 50% after deductible
You pay 20% after deductible

Major

Not covered
You pay 50% after deductible

Orthodontia

Covered children up to age 19:
Covers 50% up to lifetime maximum of $1,000 when using in-network services
Adults: Not covered
Covered children up to age 19:
Covers 100% up to lifetime maximum of $1,500 when using in-network services
Adults: Not covered

Your Bi-Weekly Cost for Coverage

You

$2.93
$9.71

You + Spouse/Domestic Partner

$5.79
$19.17

You + Child(ren)

$6.81
$22.55

You + Family

$9.86
$32.64

Anthem