Dental PPO Premium Plan

Apply Off Pennie

Apply On Pennie

Plan overview

Plan availability
County of residence	Available in all 21 counties
Exchange	Off Pennie

Covered services

Plan details	You pay
Routine dental check-up adult	0%
Routine dental check-up child	$10
Deductible adult	$50
Deductible child	$75
Out-of-pocket max adult	$2,000
Out-of-pocket max child	$350

Plan details	Children	Adults
Diagnostic and preventative services	✔	✔
Basic services	✔	✔
Major services	✔	✔
Orthodontia services	✔

Children- under age 19

Adults- age 19 and over

Plan documents

Highlight sheet

Need more information?

Understanding health insurance

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