Assistance plan

This page includes a brief summary of the PPO dental plan benefits. A complete description of insured benefits, including limitations and exclusions, will be provided in the Certificate of Insurance.

Lifetime of Smiles program features:

  • Brush biopsies for early cancer detection
  • Testing for genetic gum disease
  • Coverage for antimicrobial agents

Type I Preventive Dental Services, including:

  • Oral evaluations
  • Routine dental cleanings
  • Fluoride treatment (children under age 19)
  • Sealants (children under age 14)
  • Space maintainers (children under age 19)
  • Bitewing x-rays
  • Intraoral complete series x-rays
  • Genetic test for susceptibility to oral diseases

Type II Basic Dental Services, including:

  • New fillings
  • Simple extractions, incision and drainage
  • Surgical extractions of erupted teeth, impacted teeth, or exposed root
  • Biopsy (including brush biopsy)
  • Endodontics (includes root canal therapy)
  • General anesthesia/IV sedation
  • Minor gum disease (non-surgical periodontics)
  • Scaling and root planing
  • Periodontal maintenance
  • Localized delivery of antimicrobial agents
  • Major gum disease (surgical periodontics)

Type III Major Dental Services, including:

  • Dentures and bridges
  • Stainless steel crowns (children under age 19)
  • Inlay, onlay, and crown restorations 
  In-network Out-of-network

Plan year maximum

$750 per person

$500 per person

Plan year deductible (applies basic and major services only)

$25 individual/$75 family

$25 individual/$75 family

Type I preventive services coinsurance

100%

80%

Type II basic services coinsurance

40%

25%

Type III major services coinsurance

25%

10%
Certificate of Insurance
Current Benefit Highlighter
2026 Benefit Highlighter

Using an in-network dentist offers you better benefits. The Sun Life Dental Network® has over 140,000 unique providers1 so you are sure to find a dentist near you. 

Contact information

Questions about your plan? 

Call us at 844-583-5036

To submit a claim, mail to:

Sun Life
PO Box 1618
Milwaukee WI 53201-1618

1 Sun Life's dental networks include its affiliate, Dental Health Alliance®, L.L.C. (DHA®), and dentists under access arrangements with other dental networks. Nationwide counts are state level totals.

This dental plan does not provide coverage for pediatric oral health services that satisfies the requirements for “minimum essential coverage” as defined by the Patient Protection and Affordable Care Act. (“PPACA”).

Group insurance policies are underwritten by Sun Life Assurance Company of Canada (Wellesley Hills, MA) in all states, except New York, under Policy Form Series 15-GP-01 and 16-DEN-C-01. Product offerings may not be available in all states and may vary depending on state laws and regulations.

© 2026 Sun Life Assurance Company of Canada, Wellesley Hills, MA 02481. All rights reserved. The Sun Life name and logo are registered trademarks of Sun Life Assurance Company of Canada. Visit us at www.sunlife.com/us.

#1369926413 05/24 (exp. 05/26)