The Dental Plans cover preventive, basic, and major services, as well as orthodontia. Two options are available:
- Anthem PPO Dental Plan
- Anthem HMO Dental Plan (for California residents only)
Anthem PPO and HMO Dental Plans for Actives and Retirees
With the PPO Dental Plan, you can visit any dentist and receive benefits. Choosing a PPO network dentist is the most cost-effective use of your dental benefits. Plus, deductibles do not apply when you use in-network dentists.
Under HMO Dental Plan all services must be performed by an Anthem HMO Dental provider to be covered. This plan has a fixed co-payment structure. Deductibles and calendar year maximums do not apply.
The table below provides an overview of the key benefits and bi-weekly contributions provided through the LAPRA Dental Plans. Refer to the Anthem PPO Dental Plan or HMO Dental Plan materials on the LAPRA website at www.lapra.org for a complete description of the LAPRA dental benefits including terms of coverage, exclusions and limitations.
| Benefit Feature | Anthem PPO Dental Plan | Anthem HMO Dental Plan (California Residents Only) | |
|---|---|---|---|
| Providers | Network Providers | Non-Network Providers* | HMO Dental Providers Only |
| Calendar Year Deductible | None | $25 per person $50 per family (waived for Preventive & Diagnostic) | None |
| Calendar Year Maximum | $2,500 per person (excluding Orthodontia) | $2,500 per person (excluding Orthodontia) | None |
| Preventive & Diagnostic Cleanings Exams/X-rays Sealants | 100% (3/year) 100% 100% | 100% (3/year) 100% 100% | No Charge No Charge $10 co-pay per tooth |
| Basic Extractions/Fillings Root Canal Oral Surgery | 90% 90% 90% | 80% 80% 80% | No Charge $0-$180 co-pay per tooth $0-$200 co-pay per tooth |
| Major Crowns & Bridges Dentures Implants Night Guards ($2,000 max benefit) | 60% 60% 60% 60% | 60% 60% 60% 60% | $100-$200 co-pay per tooth $150-$200 co-pay per tooth N/A N/A |
| Orthodontia (adults and children) | 50% | 50% | $1,750 co-pay (child or adult) (Services exceeding a 24-month treatment period will require additional co-pays .) |
| Orthodontia Lifetime Maximum | $2,500 per person (Includes $300 for pre-orthodontic visit and treatment plan) | $2,500 per person (Includes $300 for pre-orthodontic visit and treatment plan) | Up to 24 months for standard orthodontic care |
*For non-network providers, benefits are based on the customary and reasonable charge. You are responsible for any difference between the amount charged and the customary and reasonable charge, plus any deductible and/or coinsurance amount.
Resources
Active Dental Plan Premiums
Your cost for Dental is based on your select plan and coverage category as well as the amount of the City of Los Angeles subsidy.
| Anthem Dental Premium Rates Per Pay Period Effective July 1, 2025 | ||
|---|---|---|
| Coverage Category | Anthem PPO Dental Plan | Anthem HMO Dental Plan (California Resident Only) |
| Single | $4.06 | $0.00 |
| 2-Party | $21.38 | $0.00 |
| Family | $24.18 | $1.20 |