Individual Value Plan
Individual Value Plan
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This plan requires the main subscriber to be 18 years of age or older.
person(s)
Plan Type:
- dhmo
Deductible:
- $0
Annual Maximums:
- $2000 Primary Care
$500 Specialty Care Coverage*
(per person / year)
Waiting Period
- Primary Care: None
Specialty Care: 6 months
Vision: none
Vision Plans
- Exam: 12 months
Frame: 24 months
Lenses: 12 months
Co-Pays: Exam $10
Materials: $25
- Immediate Coverage
- Low Co-Payments on Dental Procedures
- Orthodontia (Braces) Benefits
- Optional Vision Coverage Add-On
Dental Savings:
Office Visit Co-payment
$10 per visit
- Exam
-
Average Cost
$74
Your Co-Payment
FREE
Rates are approximates based on standard industry UCR
- Full Mouth X-Ray Series
-
Average Cost
$123
Your Co-Payment
$36
Rates are approximates based on standard industry UCR
- Adult Cleaning
-
Average Cost
$79
Your Co-Payment
$10
Rates are approximates based on standard industry UCR
- Filling
-
Average Cost
$243
Your Co-Payment
$72
Rates are approximates based on standard industry UCR
*after six months of continuous enrollment
