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Delta Dental Individual Kids Preferred Plan
Healthcare.gov Individual Dental Plan Finder
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Delta Dental Individual Kids Preferred Plan

Overview
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Delta Dental Individual Kids Preferred 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 Franklin 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
60600IL0010001
Coverage area
Franklin 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 Child-Only
Deductible
$50
Out-of-Pocket Maximum
$350
Coverage
Child Dental Coverage
Deductible
Dental Deductible (Individual) $50
Dental Maximum Out of Pocket (Individual) $350
Dental Deductible (Family) See Plan Brochure
Dental Maximum Out of Pocket (Family) $700
Routine Dental Services (Adult) Not Covered
Basic Dental Care (Adult) Not Covered
Major Dental Care (Adult) Not Covered
Adult Orthodontics Not Covered
Dental Check-Up for Children No Charge
Basic Dental Care (Child) 20% Coinsurance after deductible
Major Dental Care (Child) 50% Coinsurance after deductible
Orthodontia (Child) 50%
Premium Rates
Premium Child Age 0-14 31
Preimum Child Age 18 31
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/