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Delta Dental Individual PPO, EHB Certified (Exchange)
Healthcare.gov Individual Dental Plan Finder
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Delta Dental Individual PPO, EHB Certified (Exchange)

Overview
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Delta Dental Individual 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).

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 Schoolcraft county, Michigan.

What Type of Dental Plan Is This?

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 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 Plan of Michigan, Inc.
Plan ID
34930MI0150002
Coverage area
Schoolcraft County, Michigan
Phone
Local Phone: 1-800-971-4108
Toll-Free: 1-800-971-4108
TTY: 1-800-971-4108
Plan type
PPO
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) No Charge
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) Not Covered
Premium Rates
Premium Child Age 0-14 22
Preimum Child Age 18 22
Premium Adult Individual Age 21 22
Premium Adult Individual Age 27 17
Premium Adult Individual Age 30 17
Premium Adult Individual Age 40 18
Premium Adult Individual Age 50 21
Premium Adult Individual Age 60 25
Premium Couple 21 45
Premium Couple 30 35
Premium Couple 40 37
Premium Couple 50 43
Premium Couple 60 50
Couple+1 child, Age 21 67
Couple+1 child, Age 30 58
Couple+1 child, Age 40 60
Couple+1 child, Age 50 65
Couple+2 children, Age 21 90
Couple+2 children, Age 30 80
Couple+2 children, Age 40 82
Couple+2 children, Age 50 88
Couple+3 or more Children, Age 21 113
Couple+3 or more Children, Age 30 103
Couple+3 or more Children, Age 40 105
Couple+3 or more Children, Age 50 111
Individual+1 child, Age 21 45
Individual+1 child, Age 30 40
Individual+1 child, Age 40 41
Individual+1 child, Age 50 44
Individual+2 children, Age 21 67
Individual+2 children, Age 30 63
Individual+2 children, Age 40 63
Individual+2 children, Age 50 66
Individual+3 or more children, Age 21 90
Individual+3 or more children, Age 30 85
Individual+3 or more children, Age 40 86
Individual+3 or more children, Age 50 89
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/