Federal Marketplace/Exchange

2025 North Carolina Dental Plans

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

Looking for 2021 Plans?

North Carolina 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 Federal Marketplace to enroll.
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Language Assistance
If you, or someone you’re helping, has questions about the EMI Health Policy, you have the right to get help and information in your language at no cost. To talk to an interpreter, call 800-662-5851 (TTY: 1-888-236-4823).
PREMIER PPO HIGH PLAN PREMIER PPO LOW PLAN ADVANTAGE PPO PLAN ADVANTAGE COPAY PLAN
Premier Network Out of Network Premier Network Out of Network Advantage Plus 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 CoPay Schedule
Basic 80% 80% up to MAC* 60% 50% up to MAC* 50% 50% up to MAC* See CoPay 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)
 Not Covered Not Covered Not Covered Not Covered Not Covered Not Covered Not Covered Not Covered
Waiting Periods
Preventive None None None None
Basic (age 19 and older) 6 Month Waiting Period 6 Month Waiting Period 6 Month Waiting Period 6 Month Waiting Period
Major (age 19 and older) 15 Month Waiting Period 18 Month Waiting Period 12 Month Waiting Period 12 Month Waiting Period
Orthodontics
(Medically Necessary / Non-Medically Necessary)
 None / Not Applicable None / Not Applicable None / Not Applicable None / Not Applicable
Deductible (applies to Preventive, Basic and Major)
In and Out-of-Network Deductibles are Combined In and Out-of-Network Deductibles are Combined
Individual $25 $50 $100 $75 $100 $50
Family Max $75 $150 $300 $225 $300 $150
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 / Non-Medically Necessary)
 No Maximum / Not Applicable No Maximum / Not Applicable No Maximum / Not Applicable No Maximum / Not Applicable
Pediatric EHB Annual Max No Maximum No Maximum No Maximum No Maximum
Petriatric Individual EHB Out-of-Pocket Max $425 $425 $425 $425
Pediatric Family EHB Out-of-Pocket Max $850 $850 $850 $850
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 Health Plans Life, Accident & Health, Inc.

EMI Health 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