2021 Utah Dental Plans

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

Looking for 2022 Plans?

Compare Pediatric Dental Plans

Utah Family 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 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% 1000% up to MAC* 100% 100% up to MAC* 100% See Claim Payment Schedule
Basic 80% 80% 80% up to MAC* 80% 70% 70% up to MAC* 50% 50% up to MAC* See CoPay Schedule
Major 50% 50% 50% up to MAC* 50% 50% 50% up to MAC* 25% 25% up to MAC*
Orthodontics
Children (up to age 19**)
50% 50% 50% Up to 25% Discount Up to 25% Discount No Coverage Up to 25% Discount No Coverage Up to 25% Discount No Coverage
All Members (Discount) Up to 25% Discount Up to 25% Discount No Discount Up to 25% Discount Up to 25% Discount No Discount Up to 25% Discount No Discount Up to 25% Discount No Discount
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 24 Month Waiting Period Not Applicable Not Applicable Not Applicable
Deductible (applies to Preventive, Basic and Major)
Individual $25 $50 $50 $25 $50 $50 $100 $50
Family Max $75 $150 $150 $75 $150 $150 $300 $150
Maximums
Major Annual Max $750 $500 $500 No Maximum
Annual Max per Person $1,500 $1,000 $1,500 $1,000 $1,000 No Maximum
Orthodontic Lifetime Max
(Medically Necessary / Non-Medically Necessary)
$1,000 No Coverage (Eligible for up to 25% Discount) Not Applicable Not Applicable
Pediatric EHB Annual Max No Maximum No Maximum No Maximum No Maximum
Pediatric Individual EHB Out-of-Pocket Max $350 $350 $350 $350
Pediatric Family EHB Out-of-Pocket Max $700 $700 $700 $700
View Plan Details See Plan Details See Plan Details See Plan Details See Plan Details

*All Services are subject to EMI Health Maxim um Allowable Charge (MAC). When using a Non-participating Provider, the insured is responsible for all fees in excess of the Maximum Allowable Charge. Underwritten by Educators Health Plans Life, Accident, and 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 Utah Insurance Department. They meet all Federal regulations, fulfilling the requirements of the Affordable Care Act for individuals. General Policy Provisions