Delta Dental PPO Plus Premier-Federally Compliant Plan · 77760OK0020005
Delta Dental of Oklahoma offers this marketplace health insurance plan (Plan ID 77760OK0020005) 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 Oklahoma). 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 Off Exchange Plan plans like this one keep deductibles and copays lower if you qualify.
Thinking about switching?
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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).
All providers in OklahomaN/A
PCPs in OklahomaN/A
Telehealth supportData pending
Nationwide providersN/A
N/A doctors statewideN/A PCPsN/A OB/GYN
Provider network(s)
['OKN001']
Providers
Oklahoma
All US states
All
N/A
N/A
PCP
N/A
N/A
Allergy
N/A
N/A
OB/GYN
N/A
N/A
Dentists
N/A
N/A
Drug coverage overview
0 drugs tracked
Inspect tier distribution plus authorization, step therapy, and quantity-limit counts sourced from HealthPorta’s formulary import.
Prior authorization
Drugs
Required
0
Not Required
0
Step therapy
Drugs
Required
0
Not Required
0
Quantity limits
Drugs
Has Limit
0
No Limit
0
Customer highlights
What stands out for members
Issuer: Delta Dental of Oklahoma · Plan ID 77760OK0020005 · 2026 filing.
Issuer did not share extra notes for this benefit beyond the summary above.
Basic Dental Care - Adult
No Charge after deductible, 20.00% Coinsurance after deductible
Tier 1 in-networkNo Charge after deductible, 20.00% Coinsurance after deductible
Out-of-networkNo Charge after deductible, 20.00% Coinsurance after deductible
Deductible applies. For covered persons over the age 18 there is a 6 month waiting period on Class II - Basic services. Applies to a $1500 annual maximum. MOOP only applies to covered persons through the end of the month in which they turn 19.
Exclusions: Deductible applies. For covered persons over the age 18 there is a 6 month waiting period on Class II - Basic services. Applies to a $1500 annual maximum. MOOP only applies to covered persons through the end of the month in which they turn 19.
Dental Check-Up for Children
No Charge, No Charge
Tier 1 in-networkNo Charge, No Charge
Out-of-networkNo Charge, No Charge
Limit: 1.0 Visit(s) per 6 Months
MOOP only applies to covered persons through the end of the month in which they turn 19.
Exclusions: MOOP only applies to covered persons through the end of the month in which they turn 19.
Major Dental Care - Adult
No Charge after deductible, 50.00% Coinsurance after deductible
Tier 1 in-networkNo Charge after deductible, 50.00% Coinsurance after deductible
Out-of-networkNo Charge after deductible, 50.00% Coinsurance after deductible
Deductible applies. For covered persons over the age 18 there is a 12 month waiting period on Class III - Major services. Applies to a $1500 annual maximum. MOOP only applies to covered persons through the end of the month in which they turn 19.
Exclusions: Deductible applies. For covered persons over the age 18 there is a 12 month waiting period on Class III - Major services. Applies to a $1500 annual maximum. MOOP only applies to covered persons through the end of the month in which they turn 19.
Orthodontia - Adult
Coverage details pending
Issuer did not share extra notes for this benefit beyond the summary above.
Orthodontia - Child
No Charge, 50.00%
Tier 1 in-networkNo Charge, 50.00%
Out-of-networkNo Charge, 50.00%
Applies to medically necessary procedures only. MOOP only applies to covered persons through the end of the month in which they turn 19.
Exclusions: Applies to medically necessary procedures only. MOOP only applies to covered persons through the end of the month in which they turn 19.
Routine Dental Services (Adult)
No Charge, No Charge
Tier 1 in-networkNo Charge, No Charge
Out-of-networkNo Charge, No Charge
Limit: 1.0 Visit(s) per 6 Months
Applies to a $1500 annual maximum. MOOP only applies to covered persons through the end of the month in which they turn 19.
Exclusions: Applies to a $1500 annual maximum. MOOP only applies to covered persons through the end of the month in which they turn 19.
Variant attributes
Delta Dental PPO Plus Premier-Federally Compliant Plan · Variant 77760OK0020005-00
Plan identifiers & tier
Issuer-provided metadata for this variant.
Business Year
2026
CSR Variation Type
Standard High Off Exchange Plan
HIOS Product ID
77760OK002
Metal Level
High
Plan ID (Standard Component ID with Variant)
77760OK0020005-00
Plan Marketing Name
Delta Dental PPO Plus Premier-Federally Compliant Plan
Plan Variant Marketing Name
Delta Dental PPO Plus Premier-Federally Compliant Plan
Issuer & service area
Issuer-provided metadata for this variant.
Issuer ID
77760
Issuer Marketplace Marketing Name
Delta Dental of Oklahoma
Market Coverage
SHOP (Small Group)
Multiple In Network Tiers
No
National Network
Yes
Network ID
OKN001
Out of Country Coverage
Yes
Out of Country Coverage Description
All benefits that are offered on the plan are available out of country.
Out of Service Area Coverage
Yes
Out of Service Area Coverage Description
All benefits that are offered on the plan are available out of the service area.
Begin Primary Care Cost-Sharing After Number Of Visits
0
Child-Only Offering
Allows Adult and Child-Only
Composite Rating Offered
No
Dental Only Plan
Yes
First Tier Utilization
100%
Import Date
10/15/2025
Guaranteed Rate
Guaranteed Rate
New/Existing Plan
Existing
Medical EHB Deductible, Combined In/Out of Network, Family Per Group
per group not applicable
Medical EHB Deductible, Combined In/Out of Network, Family Per Person
per person not applicable
Medical EHB Deductible, Combined In/Out of Network, Individual
Not Applicable
Medical EHB Deductible, In Network (Tier 1), Family Per Group
per group not applicable
Medical EHB Deductible, In Network (Tier 1), Family Per Person
$50 per person
Medical EHB Deductible, In Network (Tier 1), Individual
$50
Medical EHB Deductible, Out of Network, Family Per Group
per group not applicable
Medical EHB Deductible, Out of Network, Family Per Person
$50 per person
Medical EHB Deductible, Out of Network, Individual
$50
Plan Effective Date
1/1/2026
Plan Expiration Date
12/31/2026
Plan Level Exclusions
For covered persons over the age 18 there is a 6 month waiting period on Class II - Basic services and a 12 month waiting period on Class III - Major services. MOOP only applies to covered persons age 0 through 18.
Plan Type
PPO
QHP/Non QHP
Off the Exchange
Source Name
HIOS
Plan ID
77760OK0020005
Copay & coinsurance
Pharmacy cost sharing by tier
Drug tier
Pharmacy type
Copay amount
Copay option
Coinsurance rate
Coinsurance option
Mail order
Questions & answers
Frequently asked questions
How do I choose the right ACA plan in Oklahoma?
Delta Dental PPO Plus Premier-Federally Compliant Plan (77760OK0020005) is a High PPO from Delta Dental of Oklahoma in Oklahoma for the 2026 coverage year.
Compare it against other options with the HealthPorta plan finder to confirm premiums, deductibles, and network access fit your household.
Does Delta Dental PPO Plus Premier-Federally Compliant Plan support telehealth or virtual urgent care?
The issuer has not published telehealth details yet. Review the Summary of Benefits and Coverage to confirm if virtual visits are included.
Is Delta Dental PPO Plus Premier-Federally Compliant Plan HSA-eligible and does it include dental or vision coverage?
HSA eligibility is not published; check the Summary of Benefits or ask the issuer.
Dental add-ons: Adult, Child.
Vision coverage is not listed for this plan.
Does Delta Dental PPO Plus Premier-Federally Compliant Plan support mail-order prescriptions?
Mail order coverage is not listed for this plan, so confirm with the issuer before relying on home delivery.
Is there out-of-country coverage for Delta Dental PPO Plus Premier-Federally Compliant Plan?
Yes, limited out-of-country coverage is available. Review the Summary of Benefits for reimbursement steps. Details: All benefits that are offered on the plan are available out of country.
Does Delta Dental PPO Plus Premier-Federally Compliant Plan cover care outside the service area?
Yes, you have limited out-of-area coverage. See the plan documents for referral and prior authorization rules. Details: All benefits that are offered on the plan are available out of the service area.
How do I enroll in or manage payments for Delta Dental PPO Plus Premier-Federally Compliant Plan?
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.
