Delta Dental Individual Pediatric-Only PPO, EHB Certified (Exchange) is an individual dental health plan issued by Delta Dental Plan of Michigan, Inc. 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).
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.
This plan is available for qualifying individuals who live in Saint Clair county, Michigan.
This plan is a PPO plan, which is also known as a "Preferred Provider Organization." In this type of insurance plan, you can choose to receive care from doctors, hospitals, and other providers who are in-network or out-of-network. You pay less if you use in-network providers. In a PPO plan, you can visit any doctor without getting a referral.
This is a higher premium, lower copay and deductible plan. This means you pay more every month, but you will pay less when you use dental services. This plan is better for those who plan not to use a lot of dental services.
You can purchase this plan at HealthCare.gov.
|Child Dental Coverage|
|Dental Deductible (Individual)||$0|
|Dental Maximum Out of Pocket (Individual)||$350|
|Dental Deductible (Family)||$0|
|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)||Not Covered|
|Premium Child Age 0-14||35|
|Preimum Child Age 18||35|