For me and spouse, the HMO Dental plan has always been our choice. We maintain our teeth and or-l hygiene, so it’s basically two cleanings per year and X-rays for us with no copay. We have had some occasional extra services performed over the years (bridgework, new fillings and root canal and crown). Yes, those extras are not cheap, but they also have a published copay price and I’ve successfully negotiated these copay prices down to an acceptable level each time. The PPO Dental is not a bad plan if you are very particular with getting the dentist you want. Most do accept that insurance, but even with the steep premium that is 3 times higher than the HMO, I find the PPO is very limiting on the total annual spend which the insurance will pay. If you are a person with lots of work to do, I guess you can spread the work over several years to have the insurance pick up most of the costs, but otherwise, the HMO works for us. We have been fortunate to have found a good dental group that’s in the network and who also have a great dentist on staff, professional hygienists and a comfortable office.