Individual OFF-Exchange (ACA Compliant) Dental Plans
As the landscape of health and dental insurance changes due to the impact of the Affordable Care Act, Healthplex provides the support and knowledge to help guide our members and groups to making the best decisions. As the new laws are defined and updated, we will continue to be at the forefront so that our plans are compliant with all federal and state regulations.
For Adults/Families:
Oral care is an essential component of good overall health. Although dental benefits for adults are not mandated by the Affordable Care Act (ACA), we believe that adult dental care is important. For this reason, we offer ACA Compliant plans that provide comprehensive coverage at an affordable price.
For Children:
The Affordable Care Act (ACA) mandates that all families have dental coverage for their children up to age 19. By choosing a pediatric dental plan offered by us, you will get a plan that features affordable comprehensive coverage and no out-of-pocket costs other than a small office visit fee or deductible.
We strongly believe in the "Preventive Incentive" - regular visits for preventive and diagnostic care can minimize expensive major dental procedures later on. Our plans make this preventive care affordable, helping you save money while providing your child with excellent oral care.
Select your state below to view our OFF-Exchange (ACA Compliant) Dental Plans.
Co-payment:
$48 per visit.
There are no copayments (or additional payments) required after the $350 annual maximum out-of-pocket is met.
Deductible: None
| Region | Monthly Premium per Child |
|---|---|
| Broward | $20.29 |
| Hillsborough | |
| Miami-Dade | |
| Orange | |
| Osceola | |
| Palm Beach | |
| Pinellas | |
| Polk | |
| Seminole | |
| Click here to locate a provider in your area. | |
Plan Information:
Co-payment
$48 per visit.
There are no copayments (or additional payments) required after the $350 (individual) or
$700 (family - covered pediatric services only) annual maximum out-of-pocket is met.
Deductible None
| Region | Monthly Premium | |||
|---|---|---|---|---|
| Individual Adult | Individual + Spouse | 1 Parent + Children | Family | |
| Broward | $20.29 | $40.58 | $52.25 | $72.54 |
| Hillsborough | ||||
| Broward | ||||
| Hillsborough | ||||
| Miami-Dade | ||||
| Orange | ||||
| Osceola | ||||
| Palm Beach | ||||
| Pinellas | ||||
| Polk | ||||
| Seminole | ||||
| Click here to locate a provider in your area. | ||||
Plan Information:
Co-payment:
$48 per visit.
There are no copayments (or additional payments) required after the $350 annual maximum out-of-pocket is met.
Deductible: None
| Region | Monthly Premium per Child |
|---|---|
| All Regions | $19.70 |
| Click here to locate a provider in your area. | |
Plan Information:
Co-payment
$48 per visit.
There are no copayments (or additional payments) required after the $350 (individual) or
$700 (family - covered pediatric services only) annual maximum out-of-pocket is met.
Deductible: None
| Region | Monthly Premium for each member | |||
|---|---|---|---|---|
| All Regions | $19.70 | |||
| Click here to locate a provider in your area. | ||||
Plan Information:
Premiums are based on geographic region.
Co-payment:
$48 per visit.
There are no copayments (or additional payments) required after the $350 annual maximum out-of-pocket is met.
Deductible: None
| Region | Monthly Premium per Child |
|---|---|
| Albany | $20.85 |
| Buffalo | $15.90 |
| Mid-Hudson | |
| Rochester | |
| Syracuse | |
| Utica | |
| Click here to locate a provider in your area. | |
Plan Information:
NYC & Long Island Region
Co-payment:
$36 per visit.
There are no copayments (or additional payments) required after the $350 annual maximum out-of-pocket is met.
Deductible: None
| Region | Monthly Premium per Child |
|---|---|
| NYC | $11.15 |
| Long Island | |
| Click here to locate a provider in your area. | |
Plan Information:
Premiums are based on geographic region.
Co-payment
$48 per visit.
There are no copayments (or additional payments) required after the $350 (individual) or
$700 (family - covered pediatric services only) annual maximum out-of-pocket is met.
Deductible: None
| Region | Monthly Premium | |||
|---|---|---|---|---|
| Individual Adult | Individual + Spouse | 1 Parent + Children | Family | |
| Albany | $21.18 | $42.35 | $54.53 | $75.70 |
| Buffalo | $21.45 | $42.90 | $46.88 | $68.33 |
| Mid-Hudson | ||||
| Rochester | $21.18 | $42.35 | $46.61 | $67.78 |
| Syracuse | ||||
| Utica | ||||
| Click here to locate a provider in your area. | ||||
Plan Information:
NYC & Long Island Region
Co-payment
$36 per visit.
There are no copayments (or additional payments) required after the $350 (individual) or
$700 (family - covered pediatric services only) annual maximum out-of-pocket is met.
Deductible: None
| Region | Monthly Premium | |||
|---|---|---|---|---|
| Individual Adult | Individual + Spouse | 1 Parent + Children | Family | |
| NYC | $11.00 | $22.00 | $28.84 | $39.84 |
| Long Island | ||||
| Click here to locate a provider in your area. | ||||
Plan Information:
Premiums are based on geographic region.
Co-payment: None
Deductible:
$75 annual
(Not applicable to covered pediatric preventive services)
| Region | Monthly Premium per Child |
|---|---|
| Albany | $20.85 |
| Buffalo | $15.90 |
| Mid-Hudson | |
| Rochester | |
| Syracuse | |
| Utica | |
| Click here to locate a provider in your area. | |
Plan Information:
NYC & Long Island Region
Co-payment: None
Deductible:
$75 annual
(Not applicable to covered pediatric preventive services)
| Region | Monthly Premium per Child |
|---|---|
| NYC | $11.15 |
| Long Island | |
| Click here to locate a provider in your area. | |
Plan Information:
Premiums are based on geographic region.
Co-payment
$48 per visit.
There are no copayments (or additional payments) required after the $350 (individual) or
$700 (family - covered pediatric services only) annual maximum out-of-pocket is met.
Deductible: None
| Region | Monthly Premium | |||
|---|---|---|---|---|
| Individual Adult | Individual + Spouse | 1 Parent + Children | Family | |
| Albany | $21.18 | $42.35 | $54.53 | $75.70 |
| Buffalo | $21.45 | $42.90 | $46.88 | $68.33 |
| Mid-Hudson | ||||
| Rochester | 21.18 | $42.35 | $46.61 | $67.78 |
| Syracuse | ||||
| Utica | ||||
| Click here to locate a provider in your area. | ||||
Plan Information:
NYC & Long Island Region
Co-payment
$36 per visit.
There are no copayments (or additional payments) required after the $350 (individual) or
$700 (family - covered pediatric services only) annual maximum out-of-pocket is met.
Deductible: None
| Region | Monthly Premium | |||
|---|---|---|---|---|
| Individual Adult | Individual + Spouse | 1 Parent + Children | Family | |
| NYC | $11.00 | $22.00 | $28.84 | $39.84 |
| Long Island | ||||
| Click here to locate a provider in your area. | ||||
Plan Information:
To view our ON-Exchange Plans please visit www.healthcare.gov for Florida, getcovered.nj.gov for New Jersey and www.nystateofhealth.ny.gov for New York.
Contact our sales Department at 1-800-468-0466 or sales@healthplex.com