Welcome TDA Members
to the EMI Health Family!
NOW OFFERING Lyra Health Virtual and In-person Mental Health Coaching and Therapy

Utah Advantage PPO for 2023

Take advantage of more savings

Compare Family Dental Plans Compare Pediatric Dental Plans

What is the Advantage PPO Plan?

EMI Health's Advantage PPO 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.
The Advantage network gives you the opportunity to save with lower premiums and lower provider fees as a result of a more narrow network. Search Advantage network providers using our Provider Search.
VISIT HEALTHCARE.GOV VIEW AS PDF
Plan Summary Advantage Network Out-of-Network
Services
Preventive
Oral Exams, Cleanings, Sealants, X-rays, Fluoride
100% 100% up to MAC*
Basic
Fillings, Space Maintainers, Oral Surgery
50% 50% up to MAC*
Major
Crowns, Bridges, Prosthodontics, Endodontics, Periodontics
25% 25% up to MAC*
Orthodontics
Children (age 7 through 18)
Discount Only No Coverage
Adults
Discount Only No Coverage
Waiting Periods
Preventive None
Basic 6 Month Waiting Period
Major 12 Month Waiting Period
Orthodontics
Not Applicable
Deductible (applies to Preventive, Basic and Major)
Individual $100
Family Max $300
Maximums
Major Annual Max† $500
Annual Max per Person† $1,000
Orthodontic Lifetime Max
Not Applicable
Pediatric EHB Annual Max No Maximum
Pedriatric Individual EHB Out-of-Pocket Max $375
Pediatric Family EHB Out-of-Pocket Max $750

*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. Underwritten by Educators Health Plans Life, Accident, and Health, Inc.

†EHB Pediatric benefits do not apply to the annual maximum or major annual maximum