2022 Ohio Dental Plans

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

Looking for 2021 Plans?

Ohio 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.
VISIT HEALTHCARE.GOV VIEW AS PDF
CHOICE PPO HIGH CHOICE PPO LOW ADVANTAGE PPO ADVANTAGE COPAY
Advantage Network Premier Network Out of Network Advantage Network Premier Network Out of Network Advantage Network Out of Network Advantage Network Out of Network
Services
Preventive 100% 100% 100% up to MAC* 100% 100% 80% up to MAC* 100% 100% up to MAC* 100% See CoPay Schedule
Basic 80% 80% 80% up to MAC* 60% 60% 50% up to MAC* 50% 50% up to MAC* See CoPay Schedule
Major 50% 50% 50% up to MAC* 50% 40% 30% up to MAC* 25% 25% up to MAC*
Orthodontics (up to age 19**)
(Medically Necessary / Non-Medically Necessary)
50% 50% 50% 50% / Discount Only (Up to 25%) 50% / Discount Only (Up to 25%) 50% / Not Covered 50% / Discount Only (Up to 25%) 50% / Not Covered 50% / Discount Only (Up to 25%) 50% / 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 / 24 Month Waiting Period None / Not Applicable None / Not Applicable None / Not Applicable
Deductible (applies to Preventive, Basic and Major)
Individual $25 $100 $100 $50
Family Max $75 $300 $300 $150
Maximums
Major Annual Max (age 19 and older) $750 $500 $500 No Maximum
Annual Max per Person (age 19 and older) $1,500 $1,000 $1,500 $1,000 $1,000 No Maximum
Orthodontic Lifetime Max
(Medically Necessary / Non-Medically Necessary)
No Maximum / $1,000 No Maximum / Not Applicable No Maximum / Not Applicable No Maximum / Not Applicable
Pediatric EHB Annual Max No Maximum No Maximum No Maximum No Maximum
Pediatric Individual EHB Out-of-Pocket Max $375 $375 $375 $375
Pediatric Family EHB Out-of-Pocket Max $750 $750 $750 $750
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*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). Benefits illustrated are in summary only. Refer to your Dental Policy for a complete description of benefits, limitations and exclusions. Underwritten by Educators Health Plans Life, Accident & Health, Inc.

**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 Ohio Insurance Department. They meet all Federal regulations, fulfilling the requirements of the Affordable Care Act for individuals. General Policy Provisions