Welcome TDA Members
to the EMI Health Family!
Provider Member Lookup    Access essential member benefit details with this new tool.

Idaho Premier PPO High for 2024

Take advantage of more savings

Compare All Dental Plans

What is the Premier PPO High Plan?

EMI Health's Premier PPO High Plan is a coinsurance plan, which means we share your costs for covered dental services and procedures. Once you've met your deductible, we'll pay a percentage of your bill.
Search Premier network providers using our Provider Search.
Plan Summary Premier Network Out-of-Network
Oral Exams, Cleanings, Sealants, X-rays, Fluoride
100% 100% up to MAC*
Fillings, Space Maintainers
80% 80% up to MAC*
Crowns, Bridges, Prosthodontics, Endodontics, Periodontics
50% 50% up to MAC*
Orthodontics (up to age 19**)
(Medically Necessary)
50% 50%
Orthodontics (up to age 19**)
(Non-Medically Necessary)
50% 50%
Waiting Periods
Preventive None
Basic (age 19 and older) 6 Month Waiting Period
Major (age 19 and older) 15 Month Waiting Period
(Medically Necessary)
(Non-Medically Necessary)
24 Month Waiting Period
Deductible (applies to Preventive, Basic and Major)
Individual $25.00
Family Max $75.00
Major Annual Max $750
Annual Max per Person $1,000
Orthodontic Lifetime Max
(Medically Necessary)
No Maximum
Orthodontic Lifetime Max
(Non-Medically Necessary)
Pediatric EHB Annual Max No Maximum
Pedriatric Individual EHB Out-of-Pocket Max $375
Pediatric Family EHB Out-of-Pocket Max $750

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 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.

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