These plans offer affordable options to meet the dental needs of every individual. Your costs are clearly listed in the Schedule of Benefits and Co-Payments and you can expect to pay the same at every dental location in our DHMO Network.
Current plans for: 48202 Zip Code | Primary Applicant Status: Under 50 years
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Sterling Plan |
Flex Essential Plan |
Flex Plus Enhanced Plan |
Individual Elite Plan |
| Plan Details | |||||
|---|---|---|---|---|---|
| Availability | Michigan | Michigan | Michigan | Michigan | |
| Plan Type | DHMO | DHMO | DHMO | DHMO | |
| Deductible | $0 |
$0 |
$0 |
$0 |
|
| Annual Maximum | $2500 Primary Care |
$1200 Primary Care Coverage $0 Specialty Care Coverage |
$1500 Primary Care $300 Specialty Care |
$2000 Primary Care |
|
| Waiting Period | Primary: None Specialty: 6 months |
Primary Care: None Major: 6 months Specialty Care: None on plan |
Primary Care: None Major: 6 Months Specialty Care: 6 months |
Primary Care: None |
|
| Requirements | This plan requires the main subscriber to be 50 years of age or older |
This plan requires the main subscriber to be 18 yrs or older. |
This plan requires the main subscriber to be 18 yrs or older. |
This plan requires the main subscriber to be 18 years or older. |
|
| Providers | |||||
| Network | DENCAP DHMO |
DHMO |
DHMO |
DHMO |
|
| Copayment Examples | |||||
| Office Visit | $20 |
$20 |
$20 |
$20 |
|
| Exam | --- | $0 |
$0 |
$0 |
|
| Full Mouth X-Ray Series | --- | $0 |
$0 |
$0 |
|
| Adult Cleaning | --- | $0 |
$0 |
$0 |
|
| Filling | --- | $89 (Composite Filling – one surface, posterior) |
$87 (Composite Filling – one surface, posterior) |
$62 (Composite Filling – one surface, posterior) |
|
| Additional Information | |||||
| View Plan Details Schedule of Benefits Gift of Dental | View Plan Details Schedule of Benefits | View Plan Details Schedule of Benefits | View Plan Details Schedule of Benefits |