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Dentegra Dental PPO Family Preferred Plan
Healthcare.gov Individual Dental Plan Finder
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Dentegra Dental PPO Family Preferred Plan

Overview
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Dentegra Dental PPO Family Preferred Plan is an individual dental health plan issued by Dentegra Insurance Company 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 Fulton 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
Dentegra Insurance Company
Plan ID
18715IL0010012
Coverage area
Fulton County, Illinois
Phone
Local Phone: 1-800-471-0284
Toll-Free: 1-800-471-0284
TTY:
Plan type
PPO
Coverage type
Child only option
Allows Adult and Child-Only
Deductible
$70
Out-of-Pocket Maximum
$350
Coverage
Adult Dental Coverage
Child Dental Coverage
Deductible
Dental Deductible (Individual) $70
Dental Maximum Out of Pocket (Individual) $350
Dental Deductible (Family) See Plan Brochure
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% Coinsurance after deductible
Premium Rates
Premium Child Age 0-14 31
Preimum Child Age 18 31
Premium Adult Individual Age 21 45
Premium Adult Individual Age 27 45
Premium Adult Individual Age 30 45
Premium Adult Individual Age 40 45
Premium Adult Individual Age 50 45
Premium Adult Individual Age 60 45
Premium Couple 21 91
Premium Couple 30 91
Premium Couple 40 91
Premium Couple 50 91
Premium Couple 60 91
Couple+1 child, Age 21 122
Couple+1 child, Age 30 122
Couple+1 child, Age 40 122
Couple+1 child, Age 50 122
Couple+2 children, Age 21 153
Couple+2 children, Age 30 153
Couple+2 children, Age 40 153
Couple+2 children, Age 50 153
Couple+3 or more Children, Age 21 184
Couple+3 or more Children, Age 30 184
Couple+3 or more Children, Age 40 184
Couple+3 or more Children, Age 50 184
Individual+1 child, Age 21 76
Individual+1 child, Age 30 76
Individual+1 child, Age 40 76
Individual+1 child, Age 50 76
Individual+2 children, Age 21 107
Individual+2 children, Age 30 107
Individual+2 children, Age 40 107
Individual+2 children, Age 50 107
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/