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Dollar Based Dental
Open Enrollment for ABEL Dental: grouphealth.solutions/abel-dental

Self-Funded Dental Benefits

Dental Benefits Without the Network Problem

Dollar Based Dental gives employers a self-funded dental plan that keeps costs predictable, gives employees freedom to choose their dentist, and allows providers to make care decisions without traditional network restrictions.

What Is Dollar Based Dental?

A Smarter Structure for Dental Benefits

Dollar Based Dental is a self-funded dental plan for employers. Instead of relying on a traditional dental insurance network, contracted fee schedules, and procedure-code driven limitations, Dollar Based Dental allows employers to define clear dollar-based benefits for covered dental care.

Employees can choose the dentist they want to see. Providers can focus on appropriate care. Employers can build plan designs that are easier to understand, easier to administer, and better aligned with actual dental costs.

Employer Control

Design the plan around your budget, workforce needs, and benefit strategy — not a carrier's standard contract.

Employee Choice

Employees choose the dentist they prefer. No narrow networks, no in-network frustration.

Provider Flexibility

Providers make treatment decisions with their patients without traditional network contract limitations.

Market Context

The Future of Dental Benefits Is Less Network Dependent

As more dental providers reconsider participation in traditional insurance networks, employers need a dental benefit that does not depend on narrow provider access. Dollar Based Dental is designed for this environment — giving employees flexibility, providers a simpler payment model, and employers a practical alternative to traditional fully insured dental plans.

Built for Everyone

A Better Dental Plan for All Stakeholders

For Employers

Control plan design, manage predictable costs, and offer a dental benefit employees can actually use. Build a plan around your workforce — not a carrier's standard contract.

For Employees

Choose your own dentist, understand your benefit, and avoid the frustration of narrow dental networks. Your care decisions stay between you and your provider.

For Providers

Make treatment decisions with your patient without traditional network contract limitations. No network agreement required to serve Dollar Based Dental members.

The Process

How Dollar Based Dental Works

1

Employer Selects Plan Design

Eagles works with the employer to build a plan around budget and workforce needs.

2

Employees Choose Their Dentist

Employees select the dental provider they prefer, subject to plan rules.

3

Provider & Patient Determine Treatment

Care decisions are made between the provider and patient — not a network.

4

Claim Is Submitted

Claims are submitted by the provider or member per the plan process.

5

Benefits Paid Per Plan Design

Covered claims are paid according to the employer's adopted plan documents.

Sample Plan Designs

Flexible Plans Built Around Your Workforce

Dollar Based Dental plans can be customized by employer. The examples below show how an employer may structure different levels of coverage.

Plan A

Annual Maximum: $1,500 / Year

  • 100% Preventive — 2 visits per year
  • $50 Annual Deductible per Person
  • 50% to the Annual Maximum
  • $1,500 Annual Maximum per Person
  • Orthodontics: $1,500 Lifetime Maximum (included in annual max)
  • Implants: Not Covered

Plan B

Annual Maximum: $5,000 / Year

  • 100% Preventive & Diagnostic
  • $50 Annual Deductible per Person
  • 70% to the Annual Maximum
  • $5,000 Annual Maximum per Person
  • Implants Covered at 45%
  • Orthodontia: $1,500 Annual / $3,000 Lifetime Maximum
Most Comprehensive

Plan C

Annual Maximum: $10,000 / Year

  • 100% Preventive & Diagnostic
  • $50 Annual Deductible per Person
  • 70% to the Annual Maximum
  • $10,000 Annual Maximum per Person
  • Implants Covered at 45%
  • Orthodontia: $1,500 Annual / $3,000 Lifetime Maximum

These are sample plan designs only. Final plan designs, rates, eligibility, exclusions, and claim procedures are determined by the employer's adopted plan documents.

For Employees

Frequently Asked Questions

Common questions from employees about using your Dollar Based Dental benefit.

Ready to Build a Better Dental Plan?

Eagles can help employers evaluate their current dental benefit, review claims and premium history, and design a Dollar Based Dental plan that fits their workforce.