Memberships
American Dental Share Membership Inclusions
The American Dental Share Membership shares in the following eligible services, in each category at the following percentages after your MRA (Member Responsibility Amount) has been met. The table below provides a summary of the features shared in by the Membership for eligible services. Participants can either use a Bento or a non-affiliated provider.
In addition to your MRA (Member Responsibility Amount), you will also want to note that there may be co-share amounts that you will pay as part of your dental services. For example, if you are on the Preferred Membership and at the beginning of your membership year you have a cavity filled as part of Basic Restorative care, you would pay a $50 MRA (assuming you had not yet met your MRA) and then you would have a 20% co-share amount if you use a Bento Dentist, with American Dental Share sharing in the remaining 80% of the negotiated cost.
Below is the list for eligible services for each level of membership.
Basic
- Starting At
-
$39.99
- Per month
- No Waiting Period
$750 Annual Max Sharing Limit
Basic Restorative Sharing (20%)
- Fillings
- Gum Cleaning
Preventative + Diagnostic Sharing (100%)
- Oral Evaluations
- X-rays
- Routine Dental Care
Standard
- Starting At
-
$54.99
- Per month
- 6-Month Waiting Period
$1,500 Annual Max Sharing Limit
Basic Restorative Sharing (50%)
- Fillings
- Gum Cleaning
Major Restorative Sharing (25%)
- Crowns
- Root Canal
- Gum Treatment
- Oral Surgery
- Tooth Replacements
Preventative + Diagnostic Sharing (100%)
- Oral Evaluations
- X-rays
- Routine Dental Care
PREFERRED
- Starting At
-
$64.99
- Per month
- 6-Month Waiting Period
$2,500 Annual Max Sharing Limit
Basic Restorative Sharing (80%)
- Fillings
- Gum Cleaning
Major Restorative Sharing (50%)
- Crowns
- Root Canal
- Gum Treatment
- Oral Surgery
- Tooth Replacements
- Implants
Preventative + Diagnostic Sharing (100%)
- Oral Evaluations
- X-rays
- Routine Dental Care
| Single | Single + Spouse | Single + Kid(s) | Family | |
|---|---|---|---|---|
|
$39.99 |
$74.99 |
$79.99 |
$109.99 |
|
$54.99 |
$104.99 |
$109.99 |
$169.99 |
|
$64.99 |
$119.99 |
$129.99 |
$199.99 |
| PREFERRED Membership | STANDARD Membership | BASIC Membership | |
|---|---|---|---|
|
Annual Max Sharing Amount |
$2,500 per Member |
$1,500 per Member |
$750 per Member |
|
Lifetime Ortho Max |
n/a |
n/a |
n/a |
|
MRA: Preventative and Diagnostic |
No MRA |
No MRA |
No MRA |
|
MRA: Basic and Major Restorative |
$50 MRA per Member |
$50 MRA per Member |
n/a |
|
Preventative and Diagnostic Sharing |
100% Bento Dentists / 100% Non-Bento Dentists |
100% Bento Dentists / 100% Non-Bento Dentists |
100% Bento Dentists / 100% Non-Bento Dentists |
|
Major Restorative Sharing |
50% Bento Dentists / 50% Non-Bento Dentists |
25% Bento Dentists / 25% Non-Bento Dentists |
n/a |
|
Basic Restorative Sharing |
80% Bento Dentists / 80% Non-Bento Dentists |
50% Bento Dentists / 50% Non-Bento Dentists |
20% Bento Dentists / 20% Non-Bento Dentists |
|
Orthodontic Sharing |
n/a |
n/a |
n/a |
What Is Included in My Membership?
Basic Restorative Sharing
- Basic Membership, 20% Bento Dentists / 20% Non-Bento Dentist
- Standard Membership: 50: Bento Dentists / 50% Non-Bento Dentists
- Preferred Membership: 80% Bento Dentists / 80% Non-Bento Dentists
- Fillings
- Amalgam (silver) fillings; one filling per tooth surface every 24 months
- Composite resin (white) fittings; one filling per tooth surface every 24 months
- Gum Cleanings (Perio Maintenance)
- Other Necessary Services
- Dentalcare to relieve pain (palliative care). 4 occurrences in 12 months
Preventative and Diagnostic Sharing
- Preferred Membership:100% Bento Dentists / 100% Non-Bento Dentists
- Standard Membership: 100% Bento Dentists / 100% Non-Bento Dentists
- Basic Membership: 100% Bento Dentists / 100% Non-Bento Dentists
- Oral Exams
- Comprehensive oral evaluation – new or established patient, once every 60 months
- Limited oral evaluation – problem focused; once every 12 months
- Periodic oral evaluation – established patient; twice in 12 months
- X-Rays
- Single tooth x-rays, 6 per 12 months
- Bitewing x-rays, once every 12 months
- Full mouth x-rays, once every 60 months
- Panoramic x-rays, once every 60 months, does not share frequency with FMX
- Routine Dental Care
- Routine cleaning, twice in 12 months, beginning on your effective date
- Fluoride treatments, twice in 12 months for members under age 19
- Sealants for children under 16, once per unrestored permanent molar every 36 months
- Space maintainers for lost deciduous (baby) teeth, replacement limited to once every 24 months
Major Restorative Sharing
(6-Month waiting period for Preferred and Standard Memberships)
- Preferred Membership: 50% Bento Dentists / 50% Non-Bento Dentists
- Standard Membership: 25% Bento Dentists / 25% Non-Bento Dentists
- Basic Membership: n/a
- Crowns
- Once per tooth in 60 months
- Implants
- Endosteal implant (D6010), once per tooth in 84 months
- Custom Abutment (D6057), once per tooth in 60 months
- Abutment supported porcelain/ceramic crown (D6058), once per tooth in 60 months
- Tooth Replacement (Prosthodontics)
- Removable complete or partial dentures, including services to fabricate, measure. fit. and adjust them; once in 60 months
- Fixed bridges and crowns (when part of a bridge), including services to fabricate, measure, fit, and adjust them; once per tooth in 60 months
- Replacement of dentures and bridges, but only when they are installed at least 60 months after the initial placement and only if the existing appliance cannot be made serviceable
- Temporary partial dentures to replace any of the six upper or lower front teeth, but only if they are installed immediately after the loss of teeth and during the period of healing
- Single tooth dental endosteal implants when the implant replaces permanent teeth through second molars, once per tooth in 60 months
- If missing 3 or more teeth in arch, use partial instead of implant
- Root Canal Treatment (Endodontics)
- Root Canal on permanent teeth, once per tooth
- Vital pulpotomy, limited to deciduous teeth
- Retreatment of prior root canal on permanent teeth, once per tooth after 24 months have elapsed from initial treatment
- Root end surgery on permanent teeth, once per tooth
- Gum Treatment (Periodontics)
- Periodontal scaling and root planning, one per quadrant in 24 months (all four quads can be completed same day)
- Periodontal surgery, once per quadrant in 36 months
- Oral Surgery
- Tooth extractions, once per tooth
- Other Services
- Occlusal guards (D9944) once in 60 months