Marketplace Shoppers

Welcome to the DENCAP Dental Plans family! Please review the 2025 plan details, as monthly premiums and office visit copays have increased from 2024. Our plans continue to offer excellent dental coverage at an affordable price. For clarity on costs, consider printing our Schedule of Benefits and Fixed Copays. For new and current members, please note that a waiting period may apply to Class III and specialty care services. If you have any questions or need assistance, don’t hesitate to contact us!

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Monthly Payment (Single Coverage)

$16.93
Office Visit

$10.00
Class I - Preventive

100% †
Class II - Basic

70% †
Class III - Major

60% †
Class IV - Orthodontic

35% †
Annual Maximum per Covered Person:
Primary Care Maximum

$1200
Specialty Care Maximum

$0
Provider Locator

View
2024 Schedule of Benefits

View

Monthly Payment (Single Coverage)

$18.93
Office Visit

$20
Class I - Preventive

100% †
Class II - Basic

70% †
Class III - Major

60% †*
Class IV - Orthodontic

35% †
Annual Maximum per Covered Person:
Primary Care Maximum

$1200
Specialty Care Maximum

$0
Provider Locator

View
2025 Schedule of Benefits

View

Monthly Payment (Single Coverage)

$24.42
Office Visit

$10.00
Class I - Preventative

100%†
Class II - Basic

70%†
Class III - Major

60%†
Class IV - Orthodontic

35%†
Annual Maximum per Covered Person:
Primary Care Maximum

$1500
Specialty Care Maximum

$300*
Provider Locator

View
2024 Schedule of Benefits

View

Monthly Payment (Single Coverage)

$26.42
Office Visit

$20
Class I - Preventative

100%†
Class II - Basic

70%†
Class III - Major

60%†*
Class IV - Orthodontic

35%†
Annual Maximum per Covered Person:
Primary Care Maximum

$1500
Specialty Care Maximum

$300**
Provider Locator

View
2025 Schedule of Benefits

View

Monthly Payment (Single Coverage)

$29.00
Office Visit

$10.00
Class I – Preventive

100%†
Class II – Basic

75%†
Class III – Major

50%†
Class IV – Orthodontic

35%†
Annual Maximum per Covered Person:
Primary Care Maximum

$2000
Specialty Care Maximum

$500*
Provider Locator

View
2024 Schedule of Benefits

View

Monthly Payment (Single Coverage)

$31.00
Office Visit

$20.00
Class I – Preventive

100%†
Class II – Basic

75%†
Class III – Major

50%†
Class IV – Orthodontic

35%†
Annual Maximum per Covered Person:
Primary Care Maximum

$2000
Specialty Care Maximum

$500*
Provider Locator

View
2025 Schedule of Benefits

View

† PERCENTAGES are APPROXIMATE, see co-payments as listed on the Schedule of Benefits and Fixed Co-Pays.
* Available after a 6 month waiting period
**Available after a 12 month waiting period

Additional Resources:

Quick Information

Open Enrollment

Open enrollment begins November 1, 2024 and ends January 15, 2025.

For effective coverage in January 2025, members must enroll no later than December 19, 2024 at 5am EST.
Enrollments after December 19, 2024, but before January 15, 2025, will have coverage that takes effect in February 2025.

Flex and Flex Plus Members

Starting in January 2025, your plans will include a waiting period. The Flex and Flex Plus plans will have a six month waiting period for Class III services. Additionally, Flex Plus member will have a twelve-month waiting period before specialty care coverage begins. If you were enrolled in a DENCAP plan in 2024, your waiting period began on your effective date. Please contact DENCAP if you have any questions.

Payments

We now accept payments online! Once your enrollment has been processed and your first invoice is received you can go here to pay your premium.

Payments mailed to the PO Box must include your invoice payment stub. Please use the following address to submit your payment and stub:

DENCAP Dental Plans, Inc
PO Box 411916
Boston, MA 02241-1916

Interactive Voice Response (IVR)
866-228-5116

Provider Locator

Don’t forget to choose a provider! Use the provider locator to find a dentist, then simply call or e-mail us to let us know which office you have selected.

Questions?

Additional downloadable resources are at the bottom of this page. Your Plan Benefits are available by clicking the drop down for your selected plan.

Still have questions? Contact us!

info@dencap.com
Phone: 313-972-1400