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Delta Dental Individual Basic Plan
Healthcare.gov Individual Dental Plan Finder
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Delta Dental Individual Basic Plan

Overview
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Delta Dental Individual Basic Plan is an individual dental health plan issued by Delta Dental of Illinois 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 Grundy county, Illinois.

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
Delta Dental of Illinois
Plan ID
60600IL0010004
Coverage area
Grundy County, Illinois
Phone
Local Phone: 1-888-559-0780
Toll-Free: 1-888-559-0780
TTY: 1-800-526-0844
Plan type
EPO
Coverage type
Low
Child only option
Allows Adult and Child-Only
Deductible
$120
Out-of-Pocket Maximum
$350
Coverage
Adult Dental Coverage
Child Dental Coverage
Deductible
Dental Deductible (Individual) $120
Dental Maximum Out of Pocket (Individual) $350
Dental Deductible (Family) See Plan Brochure
Dental Maximum Out of Pocket (Family) $700
Routine Dental Services (Adult) No Charge after Deductible
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 No Charge
Basic Dental Care (Child) 50% Coinsurance after deductible
Major Dental Care (Child) 50% Coinsurance after deductible
Orthodontia (Child) 50%
Premium Rates
Premium Child Age 0-14 27
Preimum Child Age 18 27
Premium Adult Individual Age 21 34
Premium Adult Individual Age 27 34
Premium Adult Individual Age 30 34
Premium Adult Individual Age 40 34
Premium Adult Individual Age 50 34
Premium Adult Individual Age 60 34
Premium Couple 21 68
Premium Couple 30 68
Premium Couple 40 68
Premium Couple 50 68
Premium Couple 60 68
Couple+1 child, Age 21 95
Couple+1 child, Age 30 95
Couple+1 child, Age 40 95
Couple+1 child, Age 50 95
Couple+2 children, Age 21 122
Couple+2 children, Age 30 122
Couple+2 children, Age 40 122
Couple+2 children, Age 50 122
Couple+3 or more Children, Age 21 149
Couple+3 or more Children, Age 30 149
Couple+3 or more Children, Age 40 149
Couple+3 or more Children, Age 50 149
Individual+1 child, Age 21 61
Individual+1 child, Age 30 61
Individual+1 child, Age 40 61
Individual+1 child, Age 50 61
Individual+2 children, Age 21 88
Individual+2 children, Age 30 88
Individual+2 children, Age 40 88
Individual+2 children, Age 50 88
Individual+3 or more children, Age 21 115
Individual+3 or more children, Age 30 115
Individual+3 or more children, Age 40 115
Individual+3 or more children, Age 50 115
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/