Dental Coverage

Good oral care enhances overall physical health, appearance, and mental well-being. Problems with teeth and gums are common and easily treated. Keep your teeth healthy and your smile bright with the RailWorks dental benefit plans.

Coverage Details

Coverage	PPOII & Extend DPPO In-Network (plan pays)	DPPO Out-of-Network (plan pays)	Advantage DPPO In-Network (plan pays)	Advantage DPPO Out-of-Network (plan pays)	DMO In-Network (plan pays)
Deductible (individ./family)	$50 / $150	$100 / $300	$50 / $150	$50 / $150	NONE
Calendar Year Maximum	$1,000	$500	$2,000	$2,000	Unlimited
Orthodontia Benefit	50%, no ortho deductible	50%, no ortho deductible	50%, no ortho deductible	50%, no ortho deductible	See full schedule
Orthodontia Lifetime Maximum	$1,000	$500	$1,500	$1,500	See full schedule
Orthodontia Age Limit	Dependent child to age 19	Dependent child to age 19	Adult orthodontia included	Adult orthodontia included	-
Preventive Care Services	Covered at 100%	Covered at 100%	Covered at 100%	Covered at 100%	See full schedule
DIAGNOSTIC Exams, Cleanings, X-Rays, Sealants, Fluoride	Covered at 100%, no deductible	Covered at 70%, no deductible	Covered at 100%, no deductible	Covered at 100%, no deductible	See full schedule
BASIC RESTORATIVE Fillings, Periodontics, Root Canal, Oral Surgery	60% after deductible	50% after deductible	80% after deductible	80% after deductible	See full schedule
MAJOR RESTORATIVE Crowns, Dentures, Bridges	50% after deductible	50% after deductible	50% after deductible	50% after deductible	See full schedule

Deductible (individ./family)

PPOII & Extend DPPO In-Network (plan pays): $50 / $150
DPPO Out-of-Network (plan pays): $100 / $300
Advantage DPPO In-Network (plan pays): $50 / $150
Advantage DPPO Out-of-Network (plan pays): $50 / $150
DMO In-Network (plan pays): NONE

Calendar Year Maximum

PPOII & Extend DPPO In-Network (plan pays): $1,000
DPPO Out-of-Network (plan pays): $500
Advantage DPPO In-Network (plan pays): $2,000
Advantage DPPO Out-of-Network (plan pays): $2,000
DMO In-Network (plan pays): Unlimited

Orthodontia Benefit

PPOII & Extend DPPO In-Network (plan pays): 50%, no ortho deductible
DPPO Out-of-Network (plan pays): 50%, no ortho deductible
Advantage DPPO In-Network (plan pays): 50%, no ortho deductible
Advantage DPPO Out-of-Network (plan pays): 50%, no ortho deductible
DMO In-Network (plan pays): See full schedule

Orthodontia Lifetime Maximum

PPOII & Extend DPPO In-Network (plan pays): $1,000
DPPO Out-of-Network (plan pays): $500
Advantage DPPO In-Network (plan pays): $1,500
Advantage DPPO Out-of-Network (plan pays): $1,500
DMO In-Network (plan pays): See full schedule

Orthodontia Age Limit

PPOII & Extend DPPO In-Network (plan pays): Dependent child to age 19
DPPO Out-of-Network (plan pays): Dependent child to age 19
Advantage DPPO In-Network (plan pays): Adult orthodontia included
Advantage DPPO Out-of-Network (plan pays): Adult orthodontia included
DMO In-Network (plan pays): -

Preventive Care Services

PPOII & Extend DPPO In-Network (plan pays): Covered at 100%
DPPO Out-of-Network (plan pays): Covered at 100%
Advantage DPPO In-Network (plan pays): Covered at 100%
Advantage DPPO Out-of-Network (plan pays): Covered at 100%
DMO In-Network (plan pays): See full schedule

DIAGNOSTIC Exams, Cleanings, X-Rays, Sealants, Fluoride

PPOII & Extend DPPO In-Network (plan pays): Covered at 100%, no deductible
DPPO Out-of-Network (plan pays): Covered at 70%, no deductible
Advantage DPPO In-Network (plan pays): Covered at 100%, no deductible
Advantage DPPO Out-of-Network (plan pays): Covered at 100%, no deductible
DMO In-Network (plan pays): See full schedule

BASIC RESTORATIVE Fillings, Periodontics, Root Canal, Oral Surgery

PPOII & Extend DPPO In-Network (plan pays): 60% after deductible
DPPO Out-of-Network (plan pays): 50% after deductible
Advantage DPPO In-Network (plan pays): 80% after deductible
Advantage DPPO Out-of-Network (plan pays): 80% after deductible
DMO In-Network (plan pays): See full schedule

MAJOR RESTORATIVE Crowns, Dentures, Bridges

PPOII & Extend DPPO In-Network (plan pays): 50% after deductible
DPPO Out-of-Network (plan pays): 50% after deductible
Advantage DPPO In-Network (plan pays): 50% after deductible
Advantage DPPO Out-of-Network (plan pays): 50% after deductible
DMO In-Network (plan pays): See full schedule

Plan Notes

Tooth decay (cavities) is one of the most common chronic conditions in the United States1. Untreated tooth decay can cause pain and infections that may lead to problems with eating, speaking, playing, and learning.
Source: Centers For Disease Control and Prevention
Preventive visits no longer count toward your Calendar Year Maximum
Ortho Max increased from $1,000 to $1,500
Adult Ortho now included on Enhanced Plan