[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-206000-105":59,"doc-detail-206000-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","individual-dental-ppo-new-york-deduction-rates-and-plan-options","Individual Dental PPO - New York Deduction Rates and Plan Options","","Individual Dental PPO for New York provides five PPO plan options with defined co-insurance levels across preventive, basic, and major services, including a policy year maximum per covered person. Preventive services receive immediate 100% coverage from any in-network dentist, and preventive/basic services have no waiting periods. Coverage options include Individual, Individual + Spouse, Individual + Children, and Individual + Family, with deductibles and notes on class C waiting periods. Rates and plan details vary by age and selected plan, and out-of-network payments may follow MAC or passive PPO rules.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/individual-dental-ppo-new-york-deduction-rates-and-plan-options/206000/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/individual-dental-ppo-new-york-deduction-rates-and-plan-options/206000.png","ImageObject",300,407,{"name":92,"@type":93},"Riley","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-22","2026-09-05",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",13,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What coverage options are available under the Individual Dental PPO for New York?","Question",{"text":113,"@type":114},"Coverage options include Individual, Individual + Spouse, Individual + Children, and Individual + Family. The document also lists zip code availability for New York.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"When do waiting periods apply for preventive, basic, and major services?",{"text":118,"@type":114},"Preventive services have immediate 100% coverage from any in-network dentist, and there are no waiting periods for preventive or basic services such as fillings and simple extractions. Class C (major) services are subject to a 12-month waiting period, which may be waived if takeover is approved.",{"name":120,"@type":111,"acceptedAnswer":121},"How does MAC vs. passive PPO affect out-of-network benefits?",{"text":122,"@type":114},"Plans 1–4 use MAC. Out-of-network benefits are paid based on the lesser of the dentist’s actual charge or the in-network negotiated rate, and employees may be billed for remaining amounts. Plan 5 is labeled as a passive PPO.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},206000,1788587284,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":19,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":130,"read_time":52},1374391975076,"https://ap-avatar.wpscdn.com/avatar/14000253ca4ec9f6853?x-image-process=image/resize,m_fixed,w_180,h_180&k=1783305029341752051","Deductions per year: 12 These rates were prepared on 2/8/2019 and are valid for 90 days.  \nIndividual Dental PPO(IDN8000) for NY Applicable to policy form Individual Dental PPO(IDN8000)  \nZip Codes: 100, 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 112, 113, 114, 115, 116,  \n117, 118, 119, 125, 126, 127  \n\n| COVERAGE LEVEL | ISSUE AGE | INDIVIDUAL | INDIVIDUAL AND SPOUSE | INDIVIDUAL AND CHILDREN | INDIVIDUAL AND FAMILY |\n| --- | --- | --- | --- | --- | --- |\n\nPlan 1-0/40/50 member resp., $1,000 MAC  \n17-74 $29.87 $55.77 $72.12 $105.86  \n\n| Plan 2-0/20/50 member resp., $1,000 MAC | 17-74 | $31.75 | $59.90 | $76.05 | $112.42 |\n| --- | --- | --- | --- | --- | --- |\n| Plan 3-0/20/50 member resp., $1,500 MAC | 17-74 | $32.18 | $60.76 | $76.64 | $113.46 |\n| Plan 4-0/20/50 member resp., $2,000 MAC | 17-74 | $33.14 | $62.59 | $78.61 | $116.51 |\n| Plan 5-0/20/50 member resp., $1,500 PPO | 17-74 | $47.88 | $91.83 | $117.05 | $173.82 |\n\nZip Codes: 120, 121, 122, 123, 124, 128, 129, 130, 131, 132, 133, 134, 135, 136, 137, 138, 139, 140, 141, 142, 143, 144, 145, 146, 147, 148, 149  \n\n| COVERAGE LEVEL | ISSUE AGE | INDIVIDUAL | INDIVIDUAL AND SPOUSE | INDIVIDUAL AND CHILDREN | INDIVIDUAL AND FAMILY |\n| --- | --- | --- | --- | --- | --- |\n\nPlan 1-0/40/50 member resp., $1,000 MAC  \n17-74 $27.43 $50.94 $65.88 $96.53  \n\n| Plan 2-0/20/50 member resp., $1,000 MAC | 17-74 | $29.15 | $54.74 | $69.50 | $102.58 |\n| --- | --- | --- | --- | --- | --- |\n| Plan 3-0/20/50 member resp., $1,500 MAC | 17-74 | $29.54 | $55.53 | $70.02 | $103.53 |\n| Plan 4-0/20/50 member resp., $2,000 MAC | 17-74 | $30.41 | $57.21 | $71.83 | $106.31 |\n| Plan 5-0/20/50 member resp., $1,500 PPO | 17-74 | $43.88 | $83.92 | $106.55 | $158.21 |\n\nImportant Notice Regarding Coverage  \nInsurance coverage has exclusions and limitations that may affect benefits payable. For a complete description of benefits, limitations and exclusions, please refer to an outline of coverage, sample policy/certificate, proposal description or see your Paul Revere benefits counselor. Coverage type, benefits and rates vary by state. Coverage may not be available in all states. Rates provided are illustrative and your actual premium may be different depending on your particular situation and plan choices. Colonial Voluntary Benefits products are underwritten by: The Paul Revere Life Insurance Company, Worcester, MA.  \n© 2014 Colonial Life & Accident Insurance Company  \nPage 1 of 1  \nUnderwritten by The Paul Revere Life Insurance Company See page 1 for Important Notice  \nIndividual Dental PPO  \nDental coverage is one of the most valued workplace benefits because of its importance to the overall well-being of employees. When surveyed, 68% of employees said that they consider dental insurance a must-have 1.  \nIndividual Dental PPO covers a wide range of treatments, from routine cleanings to root canalsand pays benefits based on a defined co-insurance percentage. With this coverage, employees have the freedom to choose any dentist, but when they see an in-network dentist they can receive discount on services which reduce their out-of-pocket costs.  \n1MetLife, Annual U. S. Employee Benefit Trends Study, 2017, [metlife.com](metlife.com)  \nDental Plan Overview  \n􀁸 Five PPO plan options; employer may offer a maximum of two plans to an account  \n􀁸 Coverage options include: Individual, Individual + Spouse, Individual + Children, and Individual + Family  \n􀁸 Immediate, 100% coverage on preventive services from any in-network dentist  \n􀁸 No waiting periods on preventive or basic services like fillings and simple extractions  \n􀁸 Nationwide dental network with more than 323,000 access points. Use an in-network dentist to avoid balance billing and receive network savings  \n\n| Plan Options | Policy Year Max per Covered Person | Preventive (Class A) | Basic (Class B) | Major (Class C) |\n| --- | --- | --- | --- | --- |\n| Plan 1/MAC | $1,000 | 100% co-insurance 0% member responsibility | 60% co-insurance 40% member","cbCaid9ZmUF1HHBn","https://ap.wps.com/l/cbCaid9ZmUF1HHBn","pdf",147954,"English","# Dental Plan Overview\n## Coverage options and in-network benefits\n## Plan options, maximums, and co-insurance by coverage class\n## Deductible, waiting periods, and out-of-network rules","[{\"question\":\"What coverage options are available under the Individual Dental PPO for New York?\",\"answer\":\"Coverage options include Individual, Individual + Spouse, Individual + Children, and Individual + Family. The document also lists zip code availability for New York.\"},{\"question\":\"When do waiting periods apply for preventive, basic, and major services?\",\"answer\":\"Preventive services have immediate 100% coverage from any in-network dentist, and there are no waiting periods for preventive or basic services such as fillings and simple extractions. Class C (major) services are subject to a 12-month waiting period, which may be waived if takeover is approved.\"},{\"question\":\"How does MAC vs. passive PPO affect out-of-network benefits?\",\"answer\":\"Plans 1–4 use MAC. Out-of-network benefits are paid based on the lesser of the dentist’s actual charge or the in-network negotiated rate, and employees may be billed for remaining amounts. Plan 5 is labeled as a passive PPO.\"}]","Individual Dental PPO - New York Deduction Rates and Plan Options | PDF"]