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

Overview
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Delta Dental Premier Plan is an individual dental health plan issued by Oregon Dental Service 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 Sitka county, Alaska.

What Type of Dental Plan Is This?

This plan is an Indemnity plan, which are also known as fee-for-service plans. In this type of plan, the insurance company will pay a percentage of the charges for a service, and you pay the remainder.

There is no provider network, so you can see any doctor or visit any hospital you would like. Fees for service are determined by the doctor, hospital, and other health providers. The percentage that is paid by the insurance company is pre-determined and fixed.

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
Oregon Dental Service
Plan ID
21989AK0030001
Coverage area
Sitka County, Alaska
Phone
Local Phone: 1-844-235-8014
Toll-Free: 1-844-235-8014
TTY: 1-844-235-8014
Plan type
Coverage type
Low
Child only option
Allows Adult and Child-Only
Deductible
$0
Out-of-Pocket Maximum
$350
Coverage
Adult Dental Coverage
Child Dental Coverage
Deductible
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) 20%
Basic Dental Care (Adult) 35%
Major Dental Care (Adult) 50%
Adult Orthodontics Not Covered
Dental Check-Up for Children 30%
Basic Dental Care (Child) 70%
Major Dental Care (Child) 70%
Orthodontia (Child) 70%
Premium Rates
Premium Child Age 0-14 55
Preimum Child Age 18 55
Premium Adult Individual Age 21 42
Premium Adult Individual Age 27 42
Premium Adult Individual Age 30 42
Premium Adult Individual Age 40 42
Premium Adult Individual Age 50 42
Premium Adult Individual Age 60 46
Premium Couple 21 84
Premium Couple 30 84
Premium Couple 40 84
Premium Couple 50 84
Premium Couple 60 92
Couple+1 child, Age 21 139
Couple+1 child, Age 30 139
Couple+1 child, Age 40 139
Couple+1 child, Age 50 139
Couple+2 children, Age 21 195
Couple+2 children, Age 30 195
Couple+2 children, Age 40 195
Couple+2 children, Age 50 195
Couple+3 or more Children, Age 21 250
Couple+3 or more Children, Age 30 250
Couple+3 or more Children, Age 40 250
Couple+3 or more Children, Age 50 250
Individual+1 child, Age 21 97
Individual+1 child, Age 30 97
Individual+1 child, Age 40 97
Individual+1 child, Age 50 97
Individual+2 children, Age 21 153
Individual+2 children, Age 30 153
Individual+2 children, Age 40 153
Individual+2 children, Age 50 153
Individual+3 or more children, Age 21 208
Individual+3 or more children, Age 30 208
Individual+3 or more children, Age 40 208
Individual+3 or more children, Age 50 208
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/