2023 Utah Dental Plans
Here are the plans available through the Federal Health Insurance Marketplace in your state
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
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| 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% | 100% 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 (age 7 through 18) |
50% | 50% | 50% | Discount Only | Discount Only | No Coverage | Discount Only | No Coverage | Discount Only | No Coverage |
| Adults | Discount Only | Discount Only | No Coverage | Discount Only | Discount Only | No Coverage | Discount Only | No Coverage | Discount Only | No Coverage |
| 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 Discount Only) | Not Applicable | 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 | ||||||
| View Plan Details | See Plan Details | See Plan Details | See Plan Details | See Plan Details | ||||||
*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.
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