Network Options: Optima 2000 Enhanced Network
Your smile is part of your overall health, and keeping it strong matters. With our dental coverage, you can save money and maintain your oral health by choosing in-network providers. It’s all about making sure you and your family have access to the care you need for healthy teeth and gums.

A complete understanding of your dental insurance plan is key to protecting your smile and your wallet.

800-508-4722 | premera.com | Group number: 4015771

Dental Plan

Understanding Your Coverage
Aleknagik Natives Limited, LLC offers a dental plan through Premera Blue Cross Blue Shield of Alaska. Your dental plan includes in- and out-of-network benefits, which means you can choose any dentist that you would like. However, you will pay less out of your pocket when you choose a Premera Blue Cross Blue Shield of Alaska network dentist. The deductible and annual maximum are on a calendar-year basis and reset every year on January 1st.

Did You Know?
A visit to the dentist is about more than just a teeth cleaning. By looking in your mouth, your dentist can tell a lot about your overall health. In fact, he or she may be able to identify early signs of disease, such as diabetes, heart disease, kidney disease, and even some forms of cancer, before you even notice symptoms.

Dental Choice Network
In-Network Out-of-Network*
Annual Deductible You pay $50 per individual / $150 per family
Annual Maximum  Plan pays up to $2,000 per member
Preventive Services Cleanings (2 per calendar year), Exams (2 per calendar year), Fluoride Treatments (2 per calendar year, under age 20), Sealants (permanent molars only every 24 months, under age 20), Space Maintainers (under age 20), X-Rays Plan pays 100%** Plan pays 100%**
Basic Services Anesthesia, Endodontics, Extractions, Fillings (1 per tooth every 24 months), Oral Surgery, Periodontics, Repairs (Bridges, Crowns, Dentures, Inlays/Onlays) Plan pays 80% After Deductible Plan pays 80% of Fee Schedule, After Deductible
Major Services Bridges, Crowns, Dentures, Implants, Inlays/Onlays Plan pays 50% After Deductible Plan pays 50% of Fee Schedule, After Deductible
Orthodontic Services Adults & Children Lifetime Maximum Plan pays 100% up to Lifetime Maximum $1,500
* Providers may charge more than the plan allows when you receive services out-of-network. It is recommended that you ask the out-of-network provider about their billed charges before planning care. **Indicates deductible waived This information is designed to help you choose a benefit plan for 2026 only. Please refer to the Plan Documents provided by the carrier for information regarding coverage, limitations, and exclusions. If there is a difference between this guide and the Plan Documents, the Plan Documents prevail.