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Blue Dental EPO 80/50/50
Healthcare.gov Individual Dental Plan Finder
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Blue Dental EPO 80/50/50

Overview
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Blue Dental EPO 80/50/50 is an individual dental health plan issued by Blue Cross Blue Shield of Michigan Mutual Insurance Company and is available for the year 2019. This dental plan is offered by the federal government through HealthCare.gov and the Affordable Care Act (ACA).

Do I Need to Buy a Dental Plan?

Some but not all health plans offer dental coverage. If your health plan does not include dental coverage, you can purchase a stand-alone dental plan.

However, you cannot buy a dental plan from the government healthcare marketplace, unless you are also buying a health plan at the same time.

Where Do I Need to Live to Quality for this Plan?

This plan is available for qualifying individuals who live in Saginaw county, Michigan.

What Type of Dental Plan Is This?

This plan is an EPO plan, which is also known as an "Exclusive Provider Organization." An EPO is a managed care plan where services are covered so long as the the hospitals, dentists, and other health providers in the plan's network are used.

This is a lower premium, higher copay and deductible plan. This means you pay less every month, but you will pay more when you use dental services. This plan is better for those who plan to use a lot of dental services.

Where Can I Buy This Plan?

You can purchase this plan at HealthCare.gov.

About
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Issuer
Blue Cross Blue Shield of Michigan Mutual Insurance Company
Plan ID
15560MI0730001
Coverage area
Saginaw County, Michigan
Phone
Local Phone: 1-888-288-2738
Toll-Free: 1-888-288-2738
TTY: 1-800-481-8704
Plan type
EPO
Coverage type
Low
Child only option
Allows Adult and Child-Only
Deductible
$25
Out-of-Pocket Maximum
$350
Coverage
Adult Dental Coverage
Child Dental Coverage
Deductible
Dental Deductible (Individual) $25
Dental Maximum Out of Pocket (Individual) $350
Dental Deductible (Family) $75
Dental Maximum Out of Pocket (Family) $700
Routine Dental Services (Adult) 20%
Basic Dental Care (Adult) 50% Coinsurance after deductible
Major Dental Care (Adult) 50% Coinsurance after deductible
Adult Orthodontics Not Covered
Dental Check-Up for Children 20%
Basic Dental Care (Child) 50% Coinsurance after deductible
Major Dental Care (Child) 50% Coinsurance after deductible
Orthodontia (Child) Not Covered
Premium Rates
Premium Child Age 0-14 23
Preimum Child Age 18 23
Premium Adult Individual Age 21 13
Premium Adult Individual Age 27 14
Premium Adult Individual Age 30 15
Premium Adult Individual Age 40 17
Premium Adult Individual Age 50 21
Premium Adult Individual Age 60 25
Premium Couple 21 27
Premium Couple 30 30
Premium Couple 40 35
Premium Couple 50 42
Premium Couple 60 51
Couple+1 child, Age 21 50
Couple+1 child, Age 30 53
Couple+1 child, Age 40 58
Couple+1 child, Age 50 65
Couple+2 children, Age 21 74
Couple+2 children, Age 30 77
Couple+2 children, Age 40 82
Couple+2 children, Age 50 89
Couple+3 or more Children, Age 21 97
Couple+3 or more Children, Age 30 100
Couple+3 or more Children, Age 40 105
Couple+3 or more Children, Age 50 112
Individual+1 child, Age 21 37
Individual+1 child, Age 30 38
Individual+1 child, Age 40 41
Individual+1 child, Age 50 44
Individual+2 children, Age 21 60
Individual+2 children, Age 30 62
Individual+2 children, Age 40 64
Individual+2 children, Age 50 68
Individual+3 or more children, Age 21 84
Individual+3 or more children, Age 30 85
Individual+3 or more children, Age 40 88
Individual+3 or more children, Age 50 91
Reference
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  • HealthCare.gov. U.S. Centers for Medicare and Medicaid. Accessed June 11, 2019. https://www.healthcare.gov/
  • What You Should Know about Provider Networks. U.S. Centers for Medicare and Medicaid. Accessed June 11, 2019. https://marketplace.cms.gov/outreach-and-education/what-you-should-know-provider-networks.pdf
  • Dental coverage in the Marketplace. U.S. Centers for Medicare & Medicaid. Accessed June 11, 2019. https://www.healthcare.gov/coverage/dental-coverage/