Resources
This in-network plan offers core coverage on preventative and minor/major restorative care for the lowest monthly premiums.
It is important to note that services are based on a rolling 12-month period, not a calendar year period. For example, diagnostic/preventive evaluations are covered twice in a rolling 12-month period.
Plan Costs
Full-Time Basic Coverage
| Beneficiaries | 12-Month Pay Structure | 9-Month Pay Structure |
|---|---|---|
| Single | $5.12 | $6.22 |
| One Parent and Child/ren | $31.16 | $38.08 |
| Two Adults | $51.22 | $62.58 |
| Family | $61.54 | $75.20 |
Half-Time Basic Coverage
| Beneficiaries | 12-Month Pay Structure | 9-Month Pay Structure |
|---|---|---|
| Single | $17.82 | $21.76 |
| One Parent and Child/ren | $43.82 | $53.54 |
| Two Adults | $63.86 | $78.08 |
| Family | $70.52 | $86.18 |