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DentaQuest PPO Family High
Healthcare.gov Individual Dental Plan Finder
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DentaQuest PPO Family High

Overview
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DentaQuest PPO Family High is an individual dental health plan issued by DSM USA Insurance Company, 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 Lake county, Illinois.

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 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.

Where Can I Buy This Plan?

You can purchase this plan at HealthCare.gov.

About
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Issuer
DSM USA Insurance Company, Inc.
Plan ID
45634IL0010003
Coverage area
Lake County, Illinois
Phone
Local Phone: 1-844-876-3980
Toll-Free: 1-844-876-3980
TTY: 1-800-466-7566
Plan type
PPO
Coverage type
Child only option
Allows Adult and Child-Only
Deductible
$50
Out-of-Pocket Maximum
$350
Coverage
Adult Dental Coverage
Child Dental Coverage
Deductible
Dental Deductible (Individual) $50
Dental Maximum Out of Pocket (Individual) $350
Dental Deductible (Family) $150
Dental Maximum Out of Pocket (Family) $700
Routine Dental Services (Adult) No Charge
Basic Dental Care (Adult) 20% 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) 20% Coinsurance after deductible
Major Dental Care (Child) 50% Coinsurance after deductible
Orthodontia (Child) 50%
Premium Rates
Premium Child Age 0-14 37
Preimum Child Age 18 37
Premium Adult Individual Age 21 28
Premium Adult Individual Age 27 28
Premium Adult Individual Age 30 28
Premium Adult Individual Age 40 28
Premium Adult Individual Age 50 28
Premium Adult Individual Age 60 28
Premium Couple 21 56
Premium Couple 30 56
Premium Couple 40 56
Premium Couple 50 56
Premium Couple 60 56
Couple+1 child, Age 21 94
Couple+1 child, Age 30 94
Couple+1 child, Age 40 94
Couple+1 child, Age 50 94
Couple+2 children, Age 21 131
Couple+2 children, Age 30 131
Couple+2 children, Age 40 131
Couple+2 children, Age 50 131
Couple+3 or more Children, Age 21 168
Couple+3 or more Children, Age 30 168
Couple+3 or more Children, Age 40 168
Couple+3 or more Children, Age 50 168
Individual+1 child, Age 21 65
Individual+1 child, Age 30 65
Individual+1 child, Age 40 65
Individual+1 child, Age 50 65
Individual+2 children, Age 21 102
Individual+2 children, Age 30 102
Individual+2 children, Age 40 102
Individual+2 children, Age 50 102
Individual+3 or more children, Age 21 139
Individual+3 or more children, Age 30 139
Individual+3 or more children, Age 40 139
Individual+3 or more children, Age 50 139
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/