Pennsylvania Dental Plan for 2020

Compare All Dental Plans

Advantage PPO

Take advantage of more savings.

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.

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
25% 25% up to MAC*
Orthodontics
(Medically Necessary / Non-Medically Necessary)
50% / Discount Only (Up to 25%) 50% / Not Covered
Specialists
Member Pays Same As General Dentist
Waiting Periods
Preventive None
Basic None
Major 12 Month Waiting Period
Orthodontics
(Medically Necessary / Non-Medically Necessary)
None / Not Applicable
Deductible
Individual $100
Family Max $300
Maximums
Major Annual Max $500
Annual Max per Person $1,000
Orthodontic Lifetime Max
(Medically Necessary / Non-Medically Necessary)
No Maximum / Not Applicable
Pediatric EHB Annual Max No Maximum
Pedriatric Individual EHB Out-of-Pocket Max $350
Pediatric Family EHB Out-of-Pocket Max $700

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.