The Individual Value Plan offers dental coverage for individuals and families. With FREE exams, x-rays, and cleanings in addition to low co-payments on a complete list of dental procedures, preventive care is easy! This plan also offers specialty care* and orthodontic coverage.
- Immediate Coverage
- Individual-Value-HMO-Schedule-of-Benefits_v1.2023
- Orthodontia (Braces) Benefits
Availability:
Plan Type:
Deductible:
$0
Annual Maximum:
$2000 Primary Care
$500 Specialty Care Coverage
(per person / year)
Waiting Period:
Primary Care: None
Specialty Care: 6 months
Requirements:
This plan requires the main subscriber to be 18 years or older.
Network:
DENCAP DHMO Network
Office Visit:
$10
Exam:
FREE
Full Mouth X-Ray Series:
FREE
Adult Cleaning:
FREE
Filling:
$72
This plan requires the main subscriber to be 18 years of age or older.
Dental Savings:
-
Average Cost
$74
Your Co-Payment
FREE
Rates are approximates based on standard industry UCR
-
Average Cost
$123
Your Co-Payment
FREE
Rates are approximates based on standard industry UCR
-
Average Cost
$79
Your Co-Payment
FREE
Rates are approximates based on standard industry UCR
-
Average Cost
$243
Your Co-Payment
$72
Rates are approximates based on standard industry UCR
-
Average Cost
N/A
Your Co-Payment
$10 co-pay
Rates are approximates based on standard industry UCR
per month, billed montly
if billed annually
person(s)
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