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Michigan Premier PPO High for 2023

Take advantage of more savings

Compare All Dental Plans

What is the Premier PPO Plan?

EMI Health's Premier PPO Plan offers a more expansive network, giving you more access to a wider range of providers.
The Premier network gives you the peace of mind knowing that you shouldn't have any problems finding a provider that meets your needs at a cost that meets your budget. Search Premier network providers using our provider search here: Provider Search.
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Plan Summary Premier Network Out-of-Network
Services
Preventive
Oral Exams, Cleanings, Sealants, X-rays, Fluoride
100% 100% up to MAC*
Basic
Fillings, Space Maintainers, Oral Surgery
80% 80% up to MAC*
Major
Crowns, Bridges, Prosthodontics, Endodontics, Periodontics
50% 50% up to MAC*
Orthodontics (Children age 7 through 18)
50% 50%
Orthodontics (Adults)
Discount Only Not Covered
Waiting Periods
Preventive None
Basic (age 19 and older) 6 Month Waiting Period
Major (age 19 and older) 15 Month Waiting Period
Orthodontics
24 Month Waiting Period†
Deductible (applies to Preventive, Basic and Major)
Individual $25
Family Max $75
Maximums
Major Annual Max (age 19 and older) $750
Annual Max per Person (age 19 and older) $1,000
Orthodontic Lifetime Max
$1,000
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 Health Plans Life, Accident, and Health, Inc.

†24 month waiting period does not apply to medically necessary orthodontics.