Delta Dental of Alaska offers this marketplace health insurance plan (Plan ID 21989AK0050002) so you can compare premiums, coverage levels, and provider access against other health plan insurance options. Use the modules below to decide whether this is the best health insurance plan for your household or if another insurance health plan fits better.
Marketplace enrollment for 2026 coverage typically runs Nov 1 – Jan 15 (dates may vary slightly in Alaska). Submit changes before the deadline to avoid a coverage gap.
Enroll by Dec 15 for Jan 1 starts.
Finalize plan switches before the window closes.
Special Enrollment Periods
You can change plans mid-year if you experience a qualifying life event (move, childbirth, marriage, loss of other coverage).
Report the event within 60 days.
Keep documentation handy for Healthcare.gov or your state exchange.
CSR & subsidy reminders
Premium tax credits and cost-sharing reductions (CSR) update annually when you re-submit your marketplace application.
Enter accurate income to maximize Advanced Premium Tax Credits.
Standard High On Exchange Plan plans like this one keep deductibles and copays lower if you qualify.
Thinking about switching?
Before you leave your current plan, compare networks, drug coverage, and total cost using the cards on this page.
Match provider networks so ongoing care isn’t disrupted.
Confirm prescriptions stay on-formulary or budget for tier changes.
Track the official identifiers, documents, and filing dates tied to this plan. Open the marketing or formulary links whenever you need the latest PDF from the issuer.
Review the network branding plus the number of in-network clinicians we track from issuer filings. Counts update with each CMS import (Tue, 02 Dec 2025 06:13 GMT).
Variant 21989AK0050002-01 (Standard On Exchange Plan) currently displayed.
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Benefits
Covered services & limitations
Pregnancy & family
Maternity, newborn, pediatric dental and vision extras.
Basic Dental Care - Child
50.00% Coinsurance after deductible
Tier 1 in-network50.00% Coinsurance after deductible
Out-of-network70.00% Coinsurance after deductible
See policy for limits. A 6-month exclusion period applies to-out-of-network services except if the member has one year of prior dental coverage with no more than a 90-day break in coverage from the end of the old policy to the effective date of the new policy.
Exclusions: See policy for exclusions.
Major Dental Care - Child
70.00% Coinsurance after deductible
Tier 1 in-network70.00% Coinsurance after deductible
Out-of-network70.00% Coinsurance after deductible
See policy for limits. A 12-month exclusion period applies to-out-of-network services except if the member has one year of prior dental coverage with no more than a 90-day break in coverage from the end of the old policy to the effective date of the new policy.
Issuer did not share extra notes for this benefit beyond the summary above.
Basic Dental Care - Adult
20.00% Coinsurance after deductible
Tier 1 in-network20.00% Coinsurance after deductible
Out-of-network50.00% Coinsurance after deductible
All dental services are subject to an annual maximum of $1,500. See policy for other limits. A 6-month exclusion period applies except if the member has one year of prior dental coverage with no more than a 90-day break in coverage from the end of the old plicy to the effective date of the new policy.
Exclusions: See policy for exclusions.
Dental Check-Up for Children
No Charge
Tier 1 in-networkNo Charge
Out-of-network50.00%
Limit: 2.0 Exam(s) per Year
See policy for other limits.
Exclusions: See policy for exclusions.
Major Dental Care - Adult
50.00% Coinsurance after deductible
Tier 1 in-network50.00% Coinsurance after deductible
Out-of-network50.00% Coinsurance after deductible
All dental services are subject to an annual maximum of $1,500. See policy for other limits. A 12-month exclusion period applies except if the member has one year of prior dental coverage with no more than a 90-day break in coverage from the end of the old plicy to the effective date of the new policy.
Exclusions: See policy for exclusions.
Orthodontia - Adult
Coverage details pending
Issuer did not share extra notes for this benefit beyond the summary above.
Orthodontia - Child
70.00% Coinsurance after deductible
Tier 1 in-network70.00% Coinsurance after deductible
Out-of-network70.00% Coinsurance after deductible
For medically necessary orthodontic treatment only.
Exclusions: See policy for exclusions.
Routine Dental Services (Adult)
No Charge
Tier 1 in-networkNo Charge
Out-of-network50.00%
Limit: 2.0 Exam(s) per Year
All dental services are subject to an annual maximum of $1,500. See policy for other limits.
Exclusions: See policy for exclusions.
Variant attributes
Delta Dental PPO 1500 Plan · Variant 21989AK0050002-01
Plan identifiers & tier
Issuer-provided metadata for this variant.
Business Year
2026
CSR Variation Type
Standard High On Exchange Plan
HIOS Product ID
21989AK005
Metal Level
High
Plan ID (Standard Component ID with Variant)
21989AK0050002-01
Plan Marketing Name
Delta Dental PPO 1500 Plan
Plan Variant Marketing Name
Delta Dental PPO 1500 Plan
Issuer & service area
Issuer-provided metadata for this variant.
Issuer ID
21989
Issuer Marketplace Marketing Name
Delta Dental of Alaska
Market Coverage
Individual
Multiple In Network Tiers
No
National Network
Yes
Network ID
AKN004
Out of Country Coverage
Yes
Out of Country Coverage Description
Out-of-network benefits
Out of Service Area Coverage
Yes
Out of Service Area Coverage Description
Out-of-network benefits
Service Area ID
AKS004
State Code
AK
Cost sharing & actuarial values
Issuer-provided metadata for this variant.
Begin Primary Care Deductible Coinsurance After Number Of Copays
0
Inpatient Copayment Maximum Days
0
Maximum Out of Pocket for Medical EHB Benefits, Combined In/Out Network, Family Per Group
per group not applicable
Maximum Out of Pocket for Medical EHB Benefits, Combined In/Out Network, Family Per Person
per person not applicable
Maximum Out of Pocket for Medical EHB Benefits, Combined In/Out
Not Applicable
Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier 1), Family Per Group
$900 per group
Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier 1), Family Per Person
$450 per person
Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier 1), Individual
$450
Maximum Out of Pocket for Medical EHB Benefits, Out of Network, Family Per Group
per group not applicable
Maximum Out of Pocket for Medical EHB Benefits, Out of Network, Family Per Person
per person not applicable
Maximum Out of Pocket for Medical EHB Benefits, Out of Network, Individual
Disclaimer: Based on the Tue, 02 Dec 2025 06:13 GMT HealthPorta import from CMS issuer filings. Data is best-effort and should be validated with the issuer directly. Sources: CMS.gov and the HealthPorta Healthcare MRF API.
