Dental Benefits
Culpeper County employees have the option of two dental plans through Ameritas. Ameritas Dental pays benefits based upon the type of services received.
To find a participating provider, visit the Ameritas Website and select FIND A PROVIDER, then DENTAL. Enter your criteria to search by location or for a specific dentist or practice.
If you have any additional questions about the plan, please call: Ameritas Group Claims Department at 800.487.5553 or visit the Ameritas Website.
Dental Low Plan Option
| Monthly Rates | |
| Employee Only | $15.73 |
| Employee + Spouse | $29.90 |
| Employee + Child(ren) | $33.04 |
| Employee + Family | $50.36 |
Type 1 - Preventative and Diagnostic
Type 1 benefits are payable at 100% U&C*. No Deductible applies.
- Routine Exam (2 per benefit period)
- Bitewings x-rays (1 per benefit period)
- Full Mouth/Panoramic X-rays ( 1 in 3 years)
- Periapical X-rays
- Cleaning (2 per benefit period
- Fluoride for Children 18 and under (1 per benefit period)
- Bitewings x-rays
- Sealants (age 15 and under)
- Space Maintainers
Annual Maximum Benefit
Type 1 Procedures - $1,000 per calendar year per person.
Eligible Employees
You are eligible for insurance if you are a full-time employee.
Eligible Dependents
Provides Coverage On:
- Your Spouse
- Children up to age of 26 regardless of student status
Dental High Plan Option
| Monthly Rates | |
| Employee Only | $33.35 |
| Employee and Spouse | $63.38 |
| Employee and Child (ren) | $70.04 |
| Employee and Family | $106.73 |
Combined Calendar Year Deductible
$50.00 per individual for Type 2 (Basic) and Type 3 (Major) Procedures (3 times family limit).
After the date that 3 covered family members have each satisfied their individual deductible, the entire deductible or any remaining portion of the deductible for any family member will be waived for the rest of that calendar year.
Type 1- Preventative and Diagnostic
Type 1 benefits are payable at 100% (U&C*) No deductible applies.
- Routine Exam (2 per benefit period)
- Bitewings x-rays (1 per benefit period)
- Full Mouth/Panoramic x-rays (1 in 3 years)
- Sealants (age 15 and under)
- Fluoride for Children 18 and under (1 per benefit period)
Type 2- Basic Procedures
Type 2 benefits are payable at 80% (U&C*). $50.00 deductible applies.
- Restorative Amalgam
- Anesthesia
- Restorative Composites (anterior and posterior teeth)
- Endodontic (surgical and nonsurgical)
- Periodontics (surgical and nonsurgical)
Type 3- Major Procedures
Type 3 benefits are payable at 50% (U&C*). $50.00 deductible applies.
- Onlays
- Crowns ( 1 in 5 years per tooth)
- Prosthodontics (fixed bridge; removable complete/partial dentures; 1 in 5 years)
Annual Maximum Benefits
Type 1,2, and 3 Procedures - $1,000 per calendar year per person.
Eligible Employees
You are eligible for insurance if you are a full-time active employee.
Eligible Dependents
Provides Coverage on:
- Your Spouse
- Children up to the age of 26 regardless of student status
*Percentage Paid based on Usual and Customary Charges.
Dental PPO Plan Option
With this option you must see an in-network provider.
- Monthly Rates
- Employee Only $29.39
- Employee and Spouse $55.84
- Employee and Child (ren) $61.71
- Employee and Family $94.05
Combined Calendar Year Deductible
$50.00 per individual for Type 2 (Basic) and Type 3 (Major) Procedures (3 times family limit).
After the date that 3 covered family members have each satisfied their individual deductible, the entire deductible or any remaining portion of the deductible for any family member will be waived for the rest of that calendar year.
Type 1-Preventative and Diagnostic
Type 1 benefits are payable at 100% (U&C*) No deductible applies.
- Routine Exam (2 per benefit period)
- Bitewings x-rays (1 per benefit period)
- Full Mouth/Panoramic x-rays (1 in 3 years)
- Sealants (age 15 and under)
- Fluoride for Children 18 and under (1 per benefit period)
Type 2- Basic Procedures
Type 2 benefits are payable at 80% (U&C*). $50.00 deductible applies.
- Restorative Amalgam
- Anesthesia
- Restorative Composites (anterior and posterior teeth)
- Endodontic (surgical and nonsurgical)
- Periodontics (surgical and nonsurgical)
Type 3- Major Procedures
Type 3 benefits are payable at 50% (U&C*). $50.00 deductible applies.
- Onlays
- Crowns ( 1 in 5 years per tooth)
- Prosthodontics (fixed bridge; removable complete/partial dentures; 1 in 5 years)
Annual Maximum Benefits
Type 1,2, and 3 Procedures - $1,000 per calendar year per person.
Eligible Employees
You are eligible for insurance if you are a full-time active employee.
Eligible Dependents
Provides Coverage on:
- Your Spouse
- Children up to the age of 26 regardless of student status
*Percentage Paid based on Usual and Customary Charges.
