Group Dental Insurance

provided by Ameritas

 

CBIA offers comprehensive affordable group dental plans through Ameritas. We offer employers 10 plans; 6 base plans and 4 plans with orthodontic coverage.

• 2024 Small Group Plan Summaries (May through December 2024)
• 2024 Small Group Plan Summaries (January through April 2024)
• 2024 Large Group Plan Summaries (May through December 2024)
• 2024 Large Group Plan Summaries (January through April 2024)

 

 

2024 Small Group Plan Summaries with Rates
Valid May through December 2024

• Small Group & Voluntary Dental Brochure with Rates
• Active PPO 100%/100%/60% $700
• Passive PPO 100%/80%/50% $1,250
• Passive PPO 100%/80%/50% $1,250 w/ Ortho
• Passive PPO 100%/80%/0% $1,000
• Passive PPO 100%/80%/50% $1,000
• Passive PPO 100%/80%/50% $1,000 w/ Ortho
• Passive PPO 100%/80%/50% $1,500
• Passive PPO 100%/80%/50% $1,500 w/ Ortho
• Passive PPO 100%/80%/50% $2,000
• Passive PPO 100%/80%/50% $2,000 w/ Ortho
• Active PPO100%/100%/60% $1,000*
• Active PPO100%/100%/60% $1,000 w/ Ortho*
  
  * Only available on renewal to employees currently enrolled in an Aetna DMO plan.

 

2024 Small Group Plan Summaries with Rates
Valid January through April 2024

• Small Group & Voluntary Dental Brochure with Rates
• Active PPO 100%/100%/60% $700
• Passive PPO 100%/80%/50% $1,250
• Passive PPO 100%/80%/50% $1,250 w/ Ortho
• Passive PPO 100%/80%/0% $1,000
• Passive PPO 100%/80%/50% $1,000
• Passive PPO 100%/80%/50% $1,000 w/ Ortho
• Passive PPO 100%/80%/50% $1,500
• Passive PPO 100%/80%/50% $1,500 w/ Ortho
• Passive PPO 100%/80%/50% $2,000
• Passive PPO 100%/80%/50% $2,000 w/ Ortho
• Active PPO100%/100%/60% $1,000*
• Active PPO100%/100%/60% $1,000 w/ Ortho*
  
  * Only available on renewal to employees currently enrolled in an Aetna DMO plan.

 

2024 Large Group Plan Summaries with Rates
Valid May through December 2024

• Large Group & Voluntary Dental Brochure with Rates
• Active PPO 100%/100%/60% $700
• Passive PPO 100%/80%/50% $1,250
• Passive PPO 100%/80%/50% $1,250 w/ Ortho
• Passive PPO 100%/80%/0% $1,000
• Passive PPO 100%/80%/50% $1,000
• Passive PPO 100%/80%/50% $1,000 w/ Ortho
• Passive PPO 100%/80%/50% $1,500
• Passive PPO 100%/80%/50% $1,500 w/ Ortho
• Passive PPO 100%/80%/50% $2,000
• Passive PPO 100%/80%/50% $2,000 w/ Ortho
• Active PPO100%/100%/60% $1,000*

• Active PPO100%/100%/60% $1,000 w/ Ortho*
  
  * Only available on renewal to employees currently enrolled in an Aetna DMO plan.

 

2024 Large Group Plan Summaries with Rates
Valid January through April 2024

• Large Group & Voluntary Dental Brochure with Rates
• Active PPO 100%/100%/60% $700
• Passive PPO 100%/80%/50% $1,250
• Passive PPO 100%/80%/50% $1,250 w/ Ortho
• Passive PPO 100%/80%/0% $1,000
• Passive PPO 100%/80%/50% $1,000
• Passive PPO 100%/80%/50% $1,000 w/ Ortho
• Passive PPO 100%/80%/50% $1,500
• Passive PPO 100%/80%/50% $1,500 w/ Ortho
• Passive PPO 100%/80%/50% $2,000
• Passive PPO 100%/80%/50% $2,000 w/ Ortho
• Active PPO100%/100%/60% $1,000*

• Active PPO100%/100%/60% $1,000 w/ Ortho*
  
  * Only available on renewal to employees currently enrolled in an Aetna DMO plan.

 

 

Certificates

Active PPO 100%/100%/60% $700 Passive PPO 100%/80%/50% $1,250 Passive PPO 100%/80%/50% $1,250 w/ Ortho Passive PPO 100%/80%/0% $1,000 Passive PPO 100%/80%/50% $1,000 Passive PPO 100%/80%/50% $1,000 w/ Ortho

Passive PPO 100%/80%/50% $1,500 Passive PPO 100%/80%/50% $1,500 w/ Ortho Passive PPO 100%/80%/50% $2,000 Passive PPO 100%/80%/50% $2,000 w/ Ortho Active PPO100%/100%/60% $1,000* Active PPO100%/100%/60% $1,000 w/ Ortho* * Only available on renewal to employees currently enrolled in an Aetna DMO plan.

 

 

Materials & Forms

• Claim Form
• How to access ID cards
• Overage Dependent Form

 

Contacts and Provider Directory

• Provider Directory
  Note: When prompted to "Select a Network," choose "Classic (PPO)"
• Member Services: See ID card or call 800.487.5553;
  Monday through Thursday 7 am to midnight; Friday 7 am to 6:30 pm, central time.

Ameritas Online Access and ID Cards for Enrolled Members

Important information about ID cards: ID cards are issued by Ameritas and mailed directly to the employee’s residence following enrollment. Ameritas does not include a member ID number on their ID cards, so when making an appointment, employees should use their Social Security Number (SSN). Participating dentists may also require another form of ID at the time of the appointment. To access ID cards, enrolled members can create a secure member account at ameritas.com using the following instructions.

1. Go to ameritas.com.
2. Select the "Sign In" link in the upper right corner of the page which will open the "Sign In To Your Account" page.
3. Under Personal Accounts/Dental, Vision & Hearing, choose either "Member Sign In" or "Member (NY) Sign In" as applicable.
4. On the Login page there is a section for first-time users. Select "Register Now."
5. Complete the New User Registration form and select "Create Account."
6. Select "Continue" on the Account Registered page.
7. Enter your first name, last name, date of birth, and zip code on the User Authorization page and select "Submit."
8. On the Protected Health Information Access page, enter your Social Security Number or member ID or enter a claim number and source code from a recent claim EOB statement and select "Submit."