DeltaCare USA Preferred Plan for Families – HMO

Network type: HMO
Coverage tier: High
Basic Dental: $25
Major dental care: $371
Orthodontics: $3,250
Exams: $5

SKU: 14948UT0040004 Categories: Alpine, American Fork, Bingham Canyon, Bountiful, Cedar Valley, Centerville, Clearfield, Draper, Eagle Mountain, Eden, Elberta, Farmington, Goshen, Herriman, Hill Afb, Hooper, Huntsville, Kaysville, Layton, Lehi, Lindon, Magna, Mapleton, Midvale, North Salt Lake, Ogden, Orem, Payson, Pleasant Grove, Provo, Riverton, Roy, Salem, Salt Lake City, Sandy, Santaquin, Saratoga Springs, South Jordan, Spanish Fork, Springville, Syracuse, Utah, Vineyard, West Jordan, West Valley City, Woods Cross

Description

Description

Health Care Plan Details

Network type	HMO
Deductible	N/A N/A
Out-of-pocket max	$400 per person $800 per family
Metal tier	High

Adult Dental

Basic Dental: $25
Major dental care: $371
Orthodontics: $3,250
Exams: $5