2022 Idaho Dental Plans

Here are the plans available through the Health Insurance Marketplace in your state

Idaho Dental Plan Comparison

We have several dental options for you and your family.
If you see a plan you like, you can then head to the Marketplace to enroll.
Your Health Idaho VIEW AS PDF
PREMIER PPO HIGH PREMIER PPO LOW ADVANTAGE PPO ADVANTAGE COPAY
Premier Network Out of Network Premier Network Out of Network Advantage Network Out of Network Advantage Network Out of Network
Services
Preventive 100% 100% up to MAC* 100% 80% up to MAC* 100% 100% up to MAC* 100% See Co-Pay Schedule
Basic 80% 80% up to MAC* 60% 50% up to MAC* 50% 50% up to MAC* See Co-Pay Schedule
Major 50% 50% up to MAC* 40% 30% up to MAC* 25% 25% up to MAC*
Orthodontics
(up to age 19**)
(Medically Necessary)
50% 50% 50% 50% 50% 50% 50% 50%
Orthodontics
(up to age 19**)
(Non-Medically Necessary)
50% 50% Discount Only (up to 25%) Not Covered Discount Only (up to 25%) Not Covered Discount Only (up to 25%) Not Covered
Waiting Periods
Preventive None None None None
Basic 6 Month Waiting Period 6 Month Waiting Period 6 Month Waiting Period 6 Month Waiting Period
Major 15 Month Waiting Period 18 Month Waiting Period 12 Month Waiting Period 12 Month Waiting Period
Orthodontics
(Medically Necessary)
None None None None
Orthodontics
(Non-Medically Necessary)
24 Month Waiting Period Not Applicable Not Applicable Not Applicable
Deductible (applies to Preventive, Basic and Major)
Individual $25.00 $100.00 $100.00 $50.00
Family Max $75.00 $300.00 $300.00 $150.00
Maximums
Major Annual Max $750 $500 $500 No Maximum
Annual Max per Person $1,000 $1,000 $1,000 No Maximum
Orthodontic Lifetime Max
(Medically Necessary)
No Maximum No Maximum No Maximum No Maximum
Orthodontic Lifetime Max
(Non-Medically Necessary)
$1,000 Not Applicable Not Applicable Not Applicable
Pediatric EHB Annual Max No Maximum No Maximum No Maximum No Maximum
Petriatric Individual EHB Out-of-Pocket Max $375 $375 $375 $375
Pediatric Family EHB Out-of-Pocket Max $750 $750 $750 $750
View Plan Details See Plan Details See Plan Details See Plan Details See Plan Details

Benefits illustrated are in summary only. Refer to your Dental Policy for a complete description of benefits, limitations and exclusions.

*All Services are subject to EMI Health Maximum Allowable Charge (MAC). When using a Non-participating Provider, the insured is responsible for all fees in excess of the Maximum Allowable Charge (MAC). Underwritten by Educators Mutual Insurance Association. EMI Association does not discriminate on the basis of basis of race, color, national origin, disability, age, sex, gender identity, sexual orientation, or health status in the administration of the plan, including enrollment and benefit determinations.

**Through the last day of the month in which the Insured turns 19 years of age

These EMI Health dental plans have been reviewed and approved by the Idaho Insurance Department. They meet all Federal regulations, fulfilling the requirements of the Affordable Care Act for individuals. General Policy Provisions