Select Plan Premium – HMO

Network type: HMO
Coverage tier: High
Basic Dental: 27%
Major dental care: 41%
Orthodontics: 54%
Exams: $10

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: 27%
Major dental care: 41%
Orthodontics: 54%
Exams: $10