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Student Individual Value Plan

Student Individual Value Plan

$/

This plan requires the main subscriber to be 18 years of age or older

person(s)

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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

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

Benefits & Co-Payments Find Your Plan Vision Plan Benefits Give the Gift of Dental!

*after six months of continuous enrollment