Share
Medicine Status
Dentegra Dental PPO Family Preferred Plan
Healthcare.gov Individual Dental Plan Finder
Contents
Explore
Search
Medicine Status
More
About Medicine Status
Copyright © 2020 MedicineStatus.com and Spring Launch Media LLC. All Rights Reserved.

All content on this website ("the Site") is the property of Spring Launch Media LLC. The collection and assembly of content on this Site are the exclusive property of Spring Launch Media LLC and are protected by copyright and other intellectual property laws. MedicineStatus.com does not provide medical advice, diagnosis, or treatment, and urges you to consult with a qualified medical provider for diagnosis, treatment, and for answers to your medical questions. MedicineStatus.com does not warrant or assume any legal liability or responsibility for the accuracy, completeness, or usefulness of any information disclosed. MedicineStatus.com does not assume any responsibility for any aspect of medical care administered based on the contents provided on this Site. The contents of MedicineStatus.com, such as text, images, graphics, or other material are solely for informational purposes. MedicineStatus.com does not recommend or endorse any specific provider, opinions, procedures, or other information on the Site. Rely on any information provided by MedicineStatus.com or displayed on this Site solely at your own risk. Consult a healthcare professional before taking any drug, choosing or changing any course of treatment.

Dentegra Dental PPO Family Preferred Plan

Overview
Back to Top

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 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
Back to Top
Issuer
Dentegra Insurance Company
Plan ID
18715IL0010012
Coverage area
Lake 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 40
Preimum Child Age 18 40
Premium Adult Individual Age 21 58
Premium Adult Individual Age 27 58
Premium Adult Individual Age 30 58
Premium Adult Individual Age 40 58
Premium Adult Individual Age 50 58
Premium Adult Individual Age 60 58
Premium Couple 21 117
Premium Couple 30 117
Premium Couple 40 117
Premium Couple 50 117
Premium Couple 60 117
Couple+1 child, Age 21 157
Couple+1 child, Age 30 157
Couple+1 child, Age 40 157
Couple+1 child, Age 50 157
Couple+2 children, Age 21 197
Couple+2 children, Age 30 197
Couple+2 children, Age 40 197
Couple+2 children, Age 50 197
Couple+3 or more Children, Age 21 237
Couple+3 or more Children, Age 30 237
Couple+3 or more Children, Age 40 237
Couple+3 or more Children, Age 50 237
Individual+1 child, Age 21 98
Individual+1 child, Age 30 98
Individual+1 child, Age 40 98
Individual+1 child, Age 50 98
Individual+2 children, Age 21 138
Individual+2 children, Age 30 138
Individual+2 children, Age 40 138
Individual+2 children, Age 50 138
Individual+3 or more children, Age 21 178
Individual+3 or more children, Age 30 178
Individual+3 or more children, Age 40 178
Individual+3 or more children, Age 50 178
Reference
Back to Top

  • 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/