Welcome Healthcare.gov Shoppers!
Questions about payment?
Currently we do not accept payments on-line. Click here for the Payment Authorization Form. Once the form is complete, you have the choice to email, fax, or mail the form to DENCAP.
45 East Milwaukee Street
Detroit, MI 48202
Still have questions about payment? View our Healthcare.gov Member Frequently Asked Payment Questions.
See below for specific plan coverage details:
|Select Dental Plan||Select Plus Dental Plan|
|Estimated Monthly Premium||$29.00||Estimated Monthly Premium||$34.00|
|Office Visit||$10.00||Office Visit||$10.00|
|Class I - Preventive||100% †||Class I - Preventive||100% †|
|Class II – Basic||80% †||Class II – Basic||80% †|
|Class III - Major||65% †||Class III - Major||65% †|
|Class IV - Orthodontic||35% †||Class IV - Orthodontic||35% †|
|Annual Maximum per Covered Person:||Annual Maximum per Covered Person:|
|General Dentistry Maximum||$1500||General Dentistry Maximum||$2000|
|Specialty Care Maximum||$500 *||Specialty Care Maximum||$500 *|
|Annual Renewal Date||Jan 1st||Annual Renewal Date||Jan 1st|
|Provider Directory||View||Provider Directory||View|
|2019 Schedule of Benefits||View||2019 Schedule of Benefits||View|
* After six month waiting period.
† PERCENTAGES are APPROXIMATE, see co-payments as listed on the Schedule of Benefits and Fixed Co-Pays.