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Individual Dental Home
Individual Incentive Dental Rates
Monthly Premium Per Member
Dental Only
Under Age 18
$32.30
18 through 64
$39.35
65 and over
$42.60
Quarterly Premium Per Member
Dental Only
Under Age 18
$96.90
18 through 64
$118.0
5
65 and over
$127.80
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