Accidental Dental
70.00% Coinsurance after deductible
Tier 1 in-network
70.00% Coinsurance after deductible
Out-of-network
70.00% Coinsurance after deductible
Essential Value - Dental Accident Benefit Maximum $300\nEssential Basic - Dental Accident Benefit Maximu - $100
Basic Dental Care - Adult
50.00% Coinsurance after deductible
Tier 1 in-network
50.00% Coinsurance after deductible
Out-of-network
50.00% Coinsurance after deductible
Dental Check-Up for Children
No Charge
Tier 1 in-network
No Charge
Out-of-network
No Charge
Limit: 1.0 Visit(s) per 6 Months
Major Dental Care - Adult
Coverage details pending
Issuer did not share extra notes for this benefit beyond the summary above.
Orthodontia - Adult
Coverage details pending
Issuer did not share extra notes for this benefit beyond the summary above.
Routine Dental Services (Adult)
No Charge
Tier 1 in-network
No Charge
Out-of-network
No Charge