Namara Marketplace
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QHP Landscape SHOP Market Dental
|
State
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County
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Metal Level
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Issuer Name
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Plan Id (Standard Component)
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Plan Marketing Name
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Plan Type
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Rating Area
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Child Only Offering
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Source
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Customer Service Phone Number Local
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Customer Service Phone Number Toll Free
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Customer Service Phone Number Tty
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Network Url
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Plan Brochure Url
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Summary Of Benefits Url
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Drug Formulary Url
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Routine Dental Services Adult 1
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Basic Dental Care - Adult
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Major Dental Care - Adult
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Orthodontia Adult 1
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Dental Check-Up For Children
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Basic Dental Care - Child
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Major Dental Care - Child
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Orthodontia Child 1
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Premium Scenarios
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Premium Child
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Premium Adult Individual Age 21
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Premium Adult Individual Age 27
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Premium Adult Individual Age 30
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Premium Adult Individual Age 40
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Premium Adult Individual Age 50
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Premium Adult Individual Age 60
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Premium Couple 21
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Premium Couple 30
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Premium Couple 40
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Premium Couple 50
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Premium Couple 60
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Couple+1 Child, Age 21
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Couple+1 Child, Age 30
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Couple+1 Child, Age 40
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Couple+1 Child, Age 50
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Couple+2 Children, Age 21
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Couple+2 Children, Age 30
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Couple+2 Children, Age 40
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Couple+2 Children, Age 50
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Couple+3 Or More Children, Age 21
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Couple+3 Or More Children, Age 30
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Couple+3 Or More Children, Age 40
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Couple+3 Or More Children, Age 50
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Individual+1 Child, Age 21
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Individual+1 Child, Age 30
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Individual+1 Child, Age 40
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Individual+1 Child, Age 50
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Individual+2 Children, Age 21
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Individual+2 Children, Age 30
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Individual+2 Children, Age 40
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Individual+2 Children, Age 50
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Individual+3 Or More Children, Age 21
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Individual+3 Or More Children, Age 30
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Individual+3 Or More Children, Age 40
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Individual+3 Or More Children, Age 50
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Standard Plan Cost Sharing
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Dental Deductible - Individual
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Dental Deductible -Family
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Maximum Out Of Pocket - Individual
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Maximum Out Of Pocket -Family
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Routine Dental Services Adult
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Basic Dental Adult
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Major Dental Adult
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Orthodontia Adult
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Dental Check-Up Child
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Basic Dental Child
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Major Dental Child
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Orthodontia Child
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
AK
|
ALEUTIANS EAST
|
Low
|
BEST Life
|
74819AK0010005
|
BEST Dental Plus - Silver
|
PPO
|
Rating Area 2
|
Allows Adult and Child-Only
|
HIOS
|
1-949-253-4080
|
1-800-433-0088
|
1-949-222-2134
|
http://www2.dentemax.com/
|
http://www.bestlife.com/AK/pdf/AK_BEST_Dental_Plus_Plan_(Silver).pdf
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
60.67
|
60.67
|
60.67
|
60.67
|
60.67
|
60.67
|
60.67
|
121.34
|
121.34
|
121.34
|
121.34
|
121.34
|
170.05
|
170.05
|
170.05
|
170.05
|
218.76
|
218.76
|
218.76
|
218.76
|
286.95
|
286.95
|
286.95
|
286.95
|
109.38
|
109.38
|
109.38
|
109.38
|
158.09
|
158.09
|
158.09
|
158.09
|
226.28
|
226.28
|
226.28
|
226.28
|
50
|
See Plan Brochure
|
700
|
1400
|
No Charge
|
30% Coinsurance after deductible
|
60% Coinsurance after deductible
|
Not Covered
|
No Charge after Deductible
|
45% Coinsurance after deductible
|
65% Coinsurance after deductible
|
50%
|
|||||
|
AK
|
ALEUTIANS EAST
|
Low
|
BEST Life
|
74819AK0010006
|
BEST Dental Basic - Silver
|
PPO
|
Rating Area 2
|
Allows Adult and Child-Only
|
HIOS
|
1-949-253-4080
|
1-800-433-0088
|
1-949-222-2134
|
http://www2.dentemax.com/
|
http://www.bestlife.com/AK/pdf/AK_BEST_Dental_Basic_Plan_(Silver).pdf
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
46.42
|
46.42
|
46.42
|
46.42
|
46.42
|
46.42
|
46.42
|
92.83
|
92.83
|
92.83
|
92.83
|
92.83
|
138.87
|
138.87
|
138.87
|
138.87
|
184.91
|
184.91
|
184.91
|
184.91
|
249.37
|
249.37
|
249.37
|
249.37
|
92.46
|
92.46
|
92.46
|
92.46
|
138.5
|
138.5
|
138.5
|
138.5
|
202.95
|
202.95
|
202.95
|
202.95
|
50
|
See Plan Brochure
|
700
|
1400
|
No Charge
|
50% Coinsurance after deductible
|
70% Coinsurance after deductible
|
Not Covered
|
No Charge after Deductible
|
45% Coinsurance after deductible
|
65% Coinsurance after deductible
|
50%
|
|||||
|
AK
|
ALEUTIANS EAST
|
Low
|
Delta Dental of Alaska
|
21989AK0020002
|
Premier
|
PPO
|
Rating Area 2
|
Allows Adult and Child-Only
|
HIOS
|
1-888-873-1395
|
1-888-873-1395
|
1-888-873-1395
|
https://www.modahealth.com/ProviderSearch/faces/webpages/home.xhtml?dn=ods
|
https://www.modahealth.com/producers/grp/den.shtml
|
https://www.modahealth.com/producers/grp/den.shtml
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
32.45
|
32.45
|
32.45
|
32.45
|
32.45
|
32.45
|
32.45
|
64.9
|
64.9
|
64.9
|
64.9
|
64.9
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
50
|
$100
|
700
|
1400
|
20%
|
40%
|
50%
|
Not Covered
|
20%
|
40%
|
50%
|
50%
|
||||
|
AK
|
ALEUTIANS EAST
|
Low
|
Guardian Life Insurance Company of America
|
42507AK0050001
|
Guardian Family Essentials Plus
|
Indemnity
|
Rating Area 2
|
Allows Adult and Child-Only
|
HIOS
|
1-888-600-1600
|
1-888-600-1600
|
https://www.guardiananytime.com/fpapp/FPWeb/dentalSearch.process
|
http://www.guardianlife.com/small-business-exchanges/
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
76.34
|
76.34
|
76.34
|
76.34
|
76.34
|
117.37
|
117.37
|
117.37
|
117.37
|
158.38
|
158.38
|
158.38
|
158.38
|
219.93
|
219.93
|
219.93
|
219.93
|
79.16
|
79.16
|
79.16
|
79.16
|
120.18
|
120.18
|
120.18
|
120.18
|
181.72
|
181.72
|
181.72
|
181.72
|
50
|
See Plan Brochure
|
700
|
1400
|
20%
|
30% Coinsurance after deductible
|
60% Coinsurance after deductible
|
Not Covered
|
20%
|
30% Coinsurance after deductible
|
60% Coinsurance after deductible
|
50%
|
||||||
|
AK
|
ALEUTIANS EAST
|
Low
|
Guardian Life Insurance Company of America
|
42507AK0060001
|
Guardian Family Essentials
|
Indemnity
|
Rating Area 2
|
Allows Adult and Child-Only
|
HIOS
|
1-888-600-1600
|
1-888-600-1600
|
https://www.guardiananytime.com/fpapp/FPWeb/dentalSearch.process
|
http://www.guardianlife.com/small-business-exchanges/
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
76.34
|
76.34
|
76.34
|
76.34
|
76.34
|
113.45
|
113.45
|
113.45
|
113.45
|
150.56
|
150.56
|
150.56
|
150.56
|
206.22
|
206.22
|
206.22
|
206.22
|
75.23
|
75.23
|
75.23
|
75.23
|
112.35
|
112.35
|
112.35
|
112.35
|
168.01
|
168.01
|
168.01
|
168.01
|
50
|
See Plan Brochure
|
700
|
1400
|
20%
|
30% Coinsurance after deductible
|
60% Coinsurance after deductible
|
Not Covered
|
20%
|
30% Coinsurance after deductible
|
60% Coinsurance after deductible
|
50%
|
||||||
|
AK
|
ALEUTIANS WEST
|
Low
|
BEST Life
|
74819AK0010005
|
BEST Dental Plus - Silver
|
PPO
|
Rating Area 2
|
Allows Adult and Child-Only
|
HIOS
|
1-949-253-4080
|
1-800-433-0088
|
1-949-222-2134
|
http://www2.dentemax.com/
|
http://www.bestlife.com/AK/pdf/AK_BEST_Dental_Plus_Plan_(Silver).pdf
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
60.67
|
60.67
|
60.67
|
60.67
|
60.67
|
60.67
|
60.67
|
121.34
|
121.34
|
121.34
|
121.34
|
121.34
|
170.05
|
170.05
|
170.05
|
170.05
|
218.76
|
218.76
|
218.76
|
218.76
|
286.95
|
286.95
|
286.95
|
286.95
|
109.38
|
109.38
|
109.38
|
109.38
|
158.09
|
158.09
|
158.09
|
158.09
|
226.28
|
226.28
|
226.28
|
226.28
|
50
|
See Plan Brochure
|
700
|
1400
|
No Charge
|
30% Coinsurance after deductible
|
60% Coinsurance after deductible
|
Not Covered
|
No Charge after Deductible
|
45% Coinsurance after deductible
|
65% Coinsurance after deductible
|
50%
|
|||||
|
AK
|
ALEUTIANS WEST
|
Low
|
BEST Life
|
74819AK0010006
|
BEST Dental Basic - Silver
|
PPO
|
Rating Area 2
|
Allows Adult and Child-Only
|
HIOS
|
1-949-253-4080
|
1-800-433-0088
|
1-949-222-2134
|
http://www2.dentemax.com/
|
http://www.bestlife.com/AK/pdf/AK_BEST_Dental_Basic_Plan_(Silver).pdf
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
46.42
|
46.42
|
46.42
|
46.42
|
46.42
|
46.42
|
46.42
|
92.83
|
92.83
|
92.83
|
92.83
|
92.83
|
138.87
|
138.87
|
138.87
|
138.87
|
184.91
|
184.91
|
184.91
|
184.91
|
249.37
|
249.37
|
249.37
|
249.37
|
92.46
|
92.46
|
92.46
|
92.46
|
138.5
|
138.5
|
138.5
|
138.5
|
202.95
|
202.95
|
202.95
|
202.95
|
50
|
See Plan Brochure
|
700
|
1400
|
No Charge
|
50% Coinsurance after deductible
|
70% Coinsurance after deductible
|
Not Covered
|
No Charge after Deductible
|
45% Coinsurance after deductible
|
65% Coinsurance after deductible
|
50%
|
|||||
|
AK
|
ALEUTIANS WEST
|
Low
|
Delta Dental of Alaska
|
21989AK0020002
|
Premier
|
PPO
|
Rating Area 2
|
Allows Adult and Child-Only
|
HIOS
|
1-888-873-1395
|
1-888-873-1395
|
1-888-873-1395
|
https://www.modahealth.com/ProviderSearch/faces/webpages/home.xhtml?dn=ods
|
https://www.modahealth.com/producers/grp/den.shtml
|
https://www.modahealth.com/producers/grp/den.shtml
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
32.45
|
32.45
|
32.45
|
32.45
|
32.45
|
32.45
|
32.45
|
64.9
|
64.9
|
64.9
|
64.9
|
64.9
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
50
|
$100
|
700
|
1400
|
20%
|
40%
|
50%
|
Not Covered
|
20%
|
40%
|
50%
|
50%
|
||||
|
AK
|
ALEUTIANS WEST
|
Low
|
Guardian Life Insurance Company of America
|
42507AK0050001
|
Guardian Family Essentials Plus
|
Indemnity
|
Rating Area 2
|
Allows Adult and Child-Only
|
HIOS
|
1-888-600-1600
|
1-888-600-1600
|
https://www.guardiananytime.com/fpapp/FPWeb/dentalSearch.process
|
http://www.guardianlife.com/small-business-exchanges/
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
76.34
|
76.34
|
76.34
|
76.34
|
76.34
|
117.37
|
117.37
|
117.37
|
117.37
|
158.38
|
158.38
|
158.38
|
158.38
|
219.93
|
219.93
|
219.93
|
219.93
|
79.16
|
79.16
|
79.16
|
79.16
|
120.18
|
120.18
|
120.18
|
120.18
|
181.72
|
181.72
|
181.72
|
181.72
|
50
|
See Plan Brochure
|
700
|
1400
|
20%
|
30% Coinsurance after deductible
|
60% Coinsurance after deductible
|
Not Covered
|
20%
|
30% Coinsurance after deductible
|
60% Coinsurance after deductible
|
50%
|
||||||
|
AK
|
ALEUTIANS WEST
|
Low
|
Guardian Life Insurance Company of America
|
42507AK0060001
|
Guardian Family Essentials
|
Indemnity
|
Rating Area 2
|
Allows Adult and Child-Only
|
HIOS
|
1-888-600-1600
|
1-888-600-1600
|
https://www.guardiananytime.com/fpapp/FPWeb/dentalSearch.process
|
http://www.guardianlife.com/small-business-exchanges/
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
76.34
|
76.34
|
76.34
|
76.34
|
76.34
|
113.45
|
113.45
|
113.45
|
113.45
|
150.56
|
150.56
|
150.56
|
150.56
|
206.22
|
206.22
|
206.22
|
206.22
|
75.23
|
75.23
|
75.23
|
75.23
|
112.35
|
112.35
|
112.35
|
112.35
|
168.01
|
168.01
|
168.01
|
168.01
|
50
|
See Plan Brochure
|
700
|
1400
|
20%
|
30% Coinsurance after deductible
|
60% Coinsurance after deductible
|
Not Covered
|
20%
|
30% Coinsurance after deductible
|
60% Coinsurance after deductible
|
50%
|
||||||
|
AK
|
ANCHORAGE
|
Low
|
BEST Life
|
74819AK0010005
|
BEST Dental Plus - Silver
|
PPO
|
Rating Area 1
|
Allows Adult and Child-Only
|
HIOS
|
1-949-253-4080
|
1-800-433-0088
|
1-949-222-2134
|
http://www2.dentemax.com/
|
http://www.bestlife.com/AK/pdf/AK_BEST_Dental_Plus_Plan_(Silver).pdf
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
60.49
|
60.49
|
60.49
|
60.49
|
60.49
|
60.49
|
60.49
|
120.98
|
120.98
|
120.98
|
120.98
|
120.98
|
169.55
|
169.55
|
169.55
|
169.55
|
218.11
|
218.11
|
218.11
|
218.11
|
286.1
|
286.1
|
286.1
|
286.1
|
109.06
|
109.06
|
109.06
|
109.06
|
157.62
|
157.62
|
157.62
|
157.62
|
225.61
|
225.61
|
225.61
|
225.61
|
50
|
See Plan Brochure
|
700
|
1400
|
No Charge
|
30% Coinsurance after deductible
|
60% Coinsurance after deductible
|
Not Covered
|
No Charge after Deductible
|
45% Coinsurance after deductible
|
65% Coinsurance after deductible
|
50%
|
|||||
|
AK
|
ANCHORAGE
|
Low
|
BEST Life
|
74819AK0010006
|
BEST Dental Basic - Silver
|
PPO
|
Rating Area 1
|
Allows Adult and Child-Only
|
HIOS
|
1-949-253-4080
|
1-800-433-0088
|
1-949-222-2134
|
http://www2.dentemax.com/
|
http://www.bestlife.com/AK/pdf/AK_BEST_Dental_Basic_Plan_(Silver).pdf
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
46.28
|
46.28
|
46.28
|
46.28
|
46.28
|
46.28
|
46.28
|
92.56
|
92.56
|
92.56
|
92.56
|
92.56
|
138.46
|
138.46
|
138.46
|
138.46
|
184.37
|
184.37
|
184.37
|
184.37
|
248.63
|
248.63
|
248.63
|
248.63
|
92.18
|
92.18
|
92.18
|
92.18
|
138.09
|
138.09
|
138.09
|
138.09
|
202.36
|
202.36
|
202.36
|
202.36
|
50
|
See Plan Brochure
|
700
|
1400
|
No Charge
|
50% Coinsurance after deductible
|
70% Coinsurance after deductible
|
Not Covered
|
No Charge after Deductible
|
45% Coinsurance after deductible
|
65% Coinsurance after deductible
|
50%
|
|||||
|
AK
|
ANCHORAGE
|
Low
|
Delta Dental of Alaska
|
21989AK0020002
|
Premier
|
PPO
|
Rating Area 1
|
Allows Adult and Child-Only
|
HIOS
|
1-888-873-1395
|
1-888-873-1395
|
1-888-873-1395
|
https://www.modahealth.com/ProviderSearch/faces/webpages/home.xhtml?dn=ods
|
https://www.modahealth.com/producers/grp/den.shtml
|
https://www.modahealth.com/producers/grp/den.shtml
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
32.45
|
32.45
|
32.45
|
32.45
|
32.45
|
32.45
|
32.45
|
64.9
|
64.9
|
64.9
|
64.9
|
64.9
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
50
|
$100
|
700
|
1400
|
20%
|
40%
|
50%
|
Not Covered
|
20%
|
40%
|
50%
|
50%
|
||||
|
AK
|
ANCHORAGE
|
Low
|
Guardian Life Insurance Company of America
|
42507AK0050001
|
Guardian Family Essentials Plus
|
Indemnity
|
Rating Area 1
|
Allows Adult and Child-Only
|
HIOS
|
1-888-600-1600
|
1-888-600-1600
|
https://www.guardiananytime.com/fpapp/FPWeb/dentalSearch.process
|
http://www.guardianlife.com/small-business-exchanges/
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
76.34
|
76.34
|
76.34
|
76.34
|
76.34
|
117.37
|
117.37
|
117.37
|
117.37
|
158.38
|
158.38
|
158.38
|
158.38
|
219.93
|
219.93
|
219.93
|
219.93
|
79.16
|
79.16
|
79.16
|
79.16
|
120.18
|
120.18
|
120.18
|
120.18
|
181.72
|
181.72
|
181.72
|
181.72
|
50
|
See Plan Brochure
|
700
|
1400
|
20%
|
30% Coinsurance after deductible
|
60% Coinsurance after deductible
|
Not Covered
|
20%
|
30% Coinsurance after deductible
|
60% Coinsurance after deductible
|
50%
|
||||||
|
AK
|
ANCHORAGE
|
Low
|
Guardian Life Insurance Company of America
|
42507AK0060001
|
Guardian Family Essentials
|
Indemnity
|
Rating Area 1
|
Allows Adult and Child-Only
|
HIOS
|
1-888-600-1600
|
1-888-600-1600
|
https://www.guardiananytime.com/fpapp/FPWeb/dentalSearch.process
|
http://www.guardianlife.com/small-business-exchanges/
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
76.34
|
76.34
|
76.34
|
76.34
|
76.34
|
113.45
|
113.45
|
113.45
|
113.45
|
150.56
|
150.56
|
150.56
|
150.56
|
206.22
|
206.22
|
206.22
|
206.22
|
75.23
|
75.23
|
75.23
|
75.23
|
112.35
|
112.35
|
112.35
|
112.35
|
168.01
|
168.01
|
168.01
|
168.01
|
50
|
See Plan Brochure
|
700
|
1400
|
20%
|
30% Coinsurance after deductible
|
60% Coinsurance after deductible
|
Not Covered
|
20%
|
30% Coinsurance after deductible
|
60% Coinsurance after deductible
|
50%
|
||||||
|
AK
|
BETHEL
|
Low
|
BEST Life
|
74819AK0010005
|
BEST Dental Plus - Silver
|
PPO
|
Rating Area 1
|
Allows Adult and Child-Only
|
HIOS
|
1-949-253-4080
|
1-800-433-0088
|
1-949-222-2134
|
http://www2.dentemax.com/
|
http://www.bestlife.com/AK/pdf/AK_BEST_Dental_Plus_Plan_(Silver).pdf
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
60.49
|
60.49
|
60.49
|
60.49
|
60.49
|
60.49
|
60.49
|
120.98
|
120.98
|
120.98
|
120.98
|
120.98
|
169.55
|
169.55
|
169.55
|
169.55
|
218.11
|
218.11
|
218.11
|
218.11
|
286.1
|
286.1
|
286.1
|
286.1
|
109.06
|
109.06
|
109.06
|
109.06
|
157.62
|
157.62
|
157.62
|
157.62
|
225.61
|
225.61
|
225.61
|
225.61
|
50
|
See Plan Brochure
|
700
|
1400
|
No Charge
|
30% Coinsurance after deductible
|
60% Coinsurance after deductible
|
Not Covered
|
No Charge after Deductible
|
45% Coinsurance after deductible
|
65% Coinsurance after deductible
|
50%
|
|||||
|
AK
|
BETHEL
|
Low
|
BEST Life
|
74819AK0010006
|
BEST Dental Basic - Silver
|
PPO
|
Rating Area 1
|
Allows Adult and Child-Only
|
HIOS
|
1-949-253-4080
|
1-800-433-0088
|
1-949-222-2134
|
http://www2.dentemax.com/
|
http://www.bestlife.com/AK/pdf/AK_BEST_Dental_Basic_Plan_(Silver).pdf
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
46.28
|
46.28
|
46.28
|
46.28
|
46.28
|
46.28
|
46.28
|
92.56
|
92.56
|
92.56
|
92.56
|
92.56
|
138.46
|
138.46
|
138.46
|
138.46
|
184.37
|
184.37
|
184.37
|
184.37
|
248.63
|
248.63
|
248.63
|
248.63
|
92.18
|
92.18
|
92.18
|
92.18
|
138.09
|
138.09
|
138.09
|
138.09
|
202.36
|
202.36
|
202.36
|
202.36
|
50
|
See Plan Brochure
|
700
|
1400
|
No Charge
|
50% Coinsurance after deductible
|
70% Coinsurance after deductible
|
Not Covered
|
No Charge after Deductible
|
45% Coinsurance after deductible
|
65% Coinsurance after deductible
|
50%
|
|||||
|
AK
|
BETHEL
|
Low
|
Delta Dental of Alaska
|
21989AK0020002
|
Premier
|
PPO
|
Rating Area 1
|
Allows Adult and Child-Only
|
HIOS
|
1-888-873-1395
|
1-888-873-1395
|
1-888-873-1395
|
https://www.modahealth.com/ProviderSearch/faces/webpages/home.xhtml?dn=ods
|
https://www.modahealth.com/producers/grp/den.shtml
|
https://www.modahealth.com/producers/grp/den.shtml
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
32.45
|
32.45
|
32.45
|
32.45
|
32.45
|
32.45
|
32.45
|
64.9
|
64.9
|
64.9
|
64.9
|
64.9
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
50
|
$100
|
700
|
1400
|
20%
|
40%
|
50%
|
Not Covered
|
20%
|
40%
|
50%
|
50%
|
||||
|
AK
|
BETHEL
|
Low
|
Guardian Life Insurance Company of America
|
42507AK0050001
|
Guardian Family Essentials Plus
|
Indemnity
|
Rating Area 1
|
Allows Adult and Child-Only
|
HIOS
|
1-888-600-1600
|
1-888-600-1600
|
https://www.guardiananytime.com/fpapp/FPWeb/dentalSearch.process
|
http://www.guardianlife.com/small-business-exchanges/
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
76.34
|
76.34
|
76.34
|
76.34
|
76.34
|
117.37
|
117.37
|
117.37
|
117.37
|
158.38
|
158.38
|
158.38
|
158.38
|
219.93
|
219.93
|
219.93
|
219.93
|
79.16
|
79.16
|
79.16
|
79.16
|
120.18
|
120.18
|
120.18
|
120.18
|
181.72
|
181.72
|
181.72
|
181.72
|
50
|
See Plan Brochure
|
700
|
1400
|
20%
|
30% Coinsurance after deductible
|
60% Coinsurance after deductible
|
Not Covered
|
20%
|
30% Coinsurance after deductible
|
60% Coinsurance after deductible
|
50%
|
||||||
|
AK
|
BETHEL
|
Low
|
Guardian Life Insurance Company of America
|
42507AK0060001
|
Guardian Family Essentials
|
Indemnity
|
Rating Area 1
|
Allows Adult and Child-Only
|
HIOS
|
1-888-600-1600
|
1-888-600-1600
|
https://www.guardiananytime.com/fpapp/FPWeb/dentalSearch.process
|
http://www.guardianlife.com/small-business-exchanges/
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
76.34
|
76.34
|
76.34
|
76.34
|
76.34
|
113.45
|
113.45
|
113.45
|
113.45
|
150.56
|
150.56
|
150.56
|
150.56
|
206.22
|
206.22
|
206.22
|
206.22
|
75.23
|
75.23
|
75.23
|
75.23
|
112.35
|
112.35
|
112.35
|
112.35
|
168.01
|
168.01
|
168.01
|
168.01
|
50
|
See Plan Brochure
|
700
|
1400
|
20%
|
30% Coinsurance after deductible
|
60% Coinsurance after deductible
|
Not Covered
|
20%
|
30% Coinsurance after deductible
|
60% Coinsurance after deductible
|
50%
|
||||||
|
AK
|
BRISTOL BAY BOROUGH
|
Low
|
BEST Life
|
74819AK0010005
|
BEST Dental Plus - Silver
|
PPO
|
Rating Area 2
|
Allows Adult and Child-Only
|
HIOS
|
1-949-253-4080
|
1-800-433-0088
|
1-949-222-2134
|
http://www2.dentemax.com/
|
http://www.bestlife.com/AK/pdf/AK_BEST_Dental_Plus_Plan_(Silver).pdf
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
60.67
|
60.67
|
60.67
|
60.67
|
60.67
|
60.67
|
60.67
|
121.34
|
121.34
|
121.34
|
121.34
|
121.34
|
170.05
|
170.05
|
170.05
|
170.05
|
218.76
|
218.76
|
218.76
|
218.76
|
286.95
|
286.95
|
286.95
|
286.95
|
109.38
|
109.38
|
109.38
|
109.38
|
158.09
|
158.09
|
158.09
|
158.09
|
226.28
|
226.28
|
226.28
|
226.28
|
50
|
See Plan Brochure
|
700
|
1400
|
No Charge
|
30% Coinsurance after deductible
|
60% Coinsurance after deductible
|
Not Covered
|
No Charge after Deductible
|
45% Coinsurance after deductible
|
65% Coinsurance after deductible
|
50%
|
|||||
|
AK
|
BRISTOL BAY BOROUGH
|
Low
|
BEST Life
|
74819AK0010006
|
BEST Dental Basic - Silver
|
PPO
|
Rating Area 2
|
Allows Adult and Child-Only
|
HIOS
|
1-949-253-4080
|
1-800-433-0088
|
1-949-222-2134
|
http://www2.dentemax.com/
|
http://www.bestlife.com/AK/pdf/AK_BEST_Dental_Basic_Plan_(Silver).pdf
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
46.42
|
46.42
|
46.42
|
46.42
|
46.42
|
46.42
|
46.42
|
92.83
|
92.83
|
92.83
|
92.83
|
92.83
|
138.87
|
138.87
|
138.87
|
138.87
|
184.91
|
184.91
|
184.91
|
184.91
|
249.37
|
249.37
|
249.37
|
249.37
|
92.46
|
92.46
|
92.46
|
92.46
|
138.5
|
138.5
|
138.5
|
138.5
|
202.95
|
202.95
|
202.95
|
202.95
|
50
|
See Plan Brochure
|
700
|
1400
|
No Charge
|
50% Coinsurance after deductible
|
70% Coinsurance after deductible
|
Not Covered
|
No Charge after Deductible
|
45% Coinsurance after deductible
|
65% Coinsurance after deductible
|
50%
|
|||||
|
AK
|
BRISTOL BAY BOROUGH
|
Low
|
Delta Dental of Alaska
|
21989AK0020002
|
Premier
|
PPO
|
Rating Area 2
|
Allows Adult and Child-Only
|
HIOS
|
1-888-873-1395
|
1-888-873-1395
|
1-888-873-1395
|
https://www.modahealth.com/ProviderSearch/faces/webpages/home.xhtml?dn=ods
|
https://www.modahealth.com/producers/grp/den.shtml
|
https://www.modahealth.com/producers/grp/den.shtml
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
32.45
|
32.45
|
32.45
|
32.45
|
32.45
|
32.45
|
32.45
|
64.9
|
64.9
|
64.9
|
64.9
|
64.9
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
50
|
$100
|
700
|
1400
|
20%
|
40%
|
50%
|
Not Covered
|
20%
|
40%
|
50%
|
50%
|
||||
|
AK
|
BRISTOL BAY BOROUGH
|
Low
|
Guardian Life Insurance Company of America
|
42507AK0050001
|
Guardian Family Essentials Plus
|
Indemnity
|
Rating Area 2
|
Allows Adult and Child-Only
|
HIOS
|
1-888-600-1600
|
1-888-600-1600
|
https://www.guardiananytime.com/fpapp/FPWeb/dentalSearch.process
|
http://www.guardianlife.com/small-business-exchanges/
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
76.34
|
76.34
|
76.34
|
76.34
|
76.34
|
117.37
|
117.37
|
117.37
|
117.37
|
158.38
|
158.38
|
158.38
|
158.38
|
219.93
|
219.93
|
219.93
|
219.93
|
79.16
|
79.16
|
79.16
|
79.16
|
120.18
|
120.18
|
120.18
|
120.18
|
181.72
|
181.72
|
181.72
|
181.72
|
50
|
See Plan Brochure
|
700
|
1400
|
20%
|
30% Coinsurance after deductible
|
60% Coinsurance after deductible
|
Not Covered
|
20%
|
30% Coinsurance after deductible
|
60% Coinsurance after deductible
|
50%
|
||||||
|
AK
|
BRISTOL BAY BOROUGH
|
Low
|
Guardian Life Insurance Company of America
|
42507AK0060001
|
Guardian Family Essentials
|
Indemnity
|
Rating Area 2
|
Allows Adult and Child-Only
|
HIOS
|
1-888-600-1600
|
1-888-600-1600
|
https://www.guardiananytime.com/fpapp/FPWeb/dentalSearch.process
|
http://www.guardianlife.com/small-business-exchanges/
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
76.34
|
76.34
|
76.34
|
76.34
|
76.34
|
113.45
|
113.45
|
113.45
|
113.45
|
150.56
|
150.56
|
150.56
|
150.56
|
206.22
|
206.22
|
206.22
|
206.22
|
75.23
|
75.23
|
75.23
|
75.23
|
112.35
|
112.35
|
112.35
|
112.35
|
168.01
|
168.01
|
168.01
|
168.01
|
50
|
See Plan Brochure
|
700
|
1400
|
20%
|
30% Coinsurance after deductible
|
60% Coinsurance after deductible
|
Not Covered
|
20%
|
30% Coinsurance after deductible
|
60% Coinsurance after deductible
|
50%
|
||||||
|
AK
|
DENALI
|
Low
|
BEST Life
|
74819AK0010005
|
BEST Dental Plus - Silver
|
PPO
|
Rating Area 2
|
Allows Adult and Child-Only
|
HIOS
|
1-949-253-4080
|
1-800-433-0088
|
1-949-222-2134
|
http://www2.dentemax.com/
|
http://www.bestlife.com/AK/pdf/AK_BEST_Dental_Plus_Plan_(Silver).pdf
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
60.67
|
60.67
|
60.67
|
60.67
|
60.67
|
60.67
|
60.67
|
121.34
|
121.34
|
121.34
|
121.34
|
121.34
|
170.05
|
170.05
|
170.05
|
170.05
|
218.76
|
218.76
|
218.76
|
218.76
|
286.95
|
286.95
|
286.95
|
286.95
|
109.38
|
109.38
|
109.38
|
109.38
|
158.09
|
158.09
|
158.09
|
158.09
|
226.28
|
226.28
|
226.28
|
226.28
|
50
|
See Plan Brochure
|
700
|
1400
|
No Charge
|
30% Coinsurance after deductible
|
60% Coinsurance after deductible
|
Not Covered
|
No Charge after Deductible
|
45% Coinsurance after deductible
|
65% Coinsurance after deductible
|
50%
|
|||||
|
AK
|
DENALI
|
Low
|
BEST Life
|
74819AK0010006
|
BEST Dental Basic - Silver
|
PPO
|
Rating Area 2
|
Allows Adult and Child-Only
|
HIOS
|
1-949-253-4080
|
1-800-433-0088
|
1-949-222-2134
|
http://www2.dentemax.com/
|
http://www.bestlife.com/AK/pdf/AK_BEST_Dental_Basic_Plan_(Silver).pdf
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
46.42
|
46.42
|
46.42
|
46.42
|
46.42
|
46.42
|
46.42
|
92.83
|
92.83
|
92.83
|
92.83
|
92.83
|
138.87
|
138.87
|
138.87
|
138.87
|
184.91
|
184.91
|
184.91
|
184.91
|
249.37
|
249.37
|
249.37
|
249.37
|
92.46
|
92.46
|
92.46
|
92.46
|
138.5
|
138.5
|
138.5
|
138.5
|
202.95
|
202.95
|
202.95
|
202.95
|
50
|
See Plan Brochure
|
700
|
1400
|
No Charge
|
50% Coinsurance after deductible
|
70% Coinsurance after deductible
|
Not Covered
|
No Charge after Deductible
|
45% Coinsurance after deductible
|
65% Coinsurance after deductible
|
50%
|
|||||
|
AK
|
DENALI
|
Low
|
Delta Dental of Alaska
|
21989AK0020002
|
Premier
|
PPO
|
Rating Area 2
|
Allows Adult and Child-Only
|
HIOS
|
1-888-873-1395
|
1-888-873-1395
|
1-888-873-1395
|
https://www.modahealth.com/ProviderSearch/faces/webpages/home.xhtml?dn=ods
|
https://www.modahealth.com/producers/grp/den.shtml
|
https://www.modahealth.com/producers/grp/den.shtml
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
32.45
|
32.45
|
32.45
|
32.45
|
32.45
|
32.45
|
32.45
|
64.9
|
64.9
|
64.9
|
64.9
|
64.9
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
50
|
$100
|
700
|
1400
|
20%
|
40%
|
50%
|
Not Covered
|
20%
|
40%
|
50%
|
50%
|
||||
|
AK
|
DENALI
|
Low
|
Guardian Life Insurance Company of America
|
42507AK0050001
|
Guardian Family Essentials Plus
|
Indemnity
|
Rating Area 2
|
Allows Adult and Child-Only
|
HIOS
|
1-888-600-1600
|
1-888-600-1600
|
https://www.guardiananytime.com/fpapp/FPWeb/dentalSearch.process
|
http://www.guardianlife.com/small-business-exchanges/
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
76.34
|
76.34
|
76.34
|
76.34
|
76.34
|
117.37
|
117.37
|
117.37
|
117.37
|
158.38
|
158.38
|
158.38
|
158.38
|
219.93
|
219.93
|
219.93
|
219.93
|
79.16
|
79.16
|
79.16
|
79.16
|
120.18
|
120.18
|
120.18
|
120.18
|
181.72
|
181.72
|
181.72
|
181.72
|
50
|
See Plan Brochure
|
700
|
1400
|
20%
|
30% Coinsurance after deductible
|
60% Coinsurance after deductible
|
Not Covered
|
20%
|
30% Coinsurance after deductible
|
60% Coinsurance after deductible
|
50%
|
||||||
|
AK
|
DENALI
|
Low
|
Guardian Life Insurance Company of America
|
42507AK0060001
|
Guardian Family Essentials
|
Indemnity
|
Rating Area 2
|
Allows Adult and Child-Only
|
HIOS
|
1-888-600-1600
|
1-888-600-1600
|
https://www.guardiananytime.com/fpapp/FPWeb/dentalSearch.process
|
http://www.guardianlife.com/small-business-exchanges/
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
76.34
|
76.34
|
76.34
|
76.34
|
76.34
|
113.45
|
113.45
|
113.45
|
113.45
|
150.56
|
150.56
|
150.56
|
150.56
|
206.22
|
206.22
|
206.22
|
206.22
|
75.23
|
75.23
|
75.23
|
75.23
|
112.35
|
112.35
|
112.35
|
112.35
|
168.01
|
168.01
|
168.01
|
168.01
|
50
|
See Plan Brochure
|
700
|
1400
|
20%
|
30% Coinsurance after deductible
|
60% Coinsurance after deductible
|
Not Covered
|
20%
|
30% Coinsurance after deductible
|
60% Coinsurance after deductible
|
50%
|
||||||
|
AK
|
DILLINGHAM
|
Low
|
BEST Life
|
74819AK0010005
|
BEST Dental Plus - Silver
|
PPO
|
Rating Area 1
|
Allows Adult and Child-Only
|
HIOS
|
1-949-253-4080
|
1-800-433-0088
|
1-949-222-2134
|
http://www2.dentemax.com/
|
http://www.bestlife.com/AK/pdf/AK_BEST_Dental_Plus_Plan_(Silver).pdf
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
60.49
|
60.49
|
60.49
|
60.49
|
60.49
|
60.49
|
60.49
|
120.98
|
120.98
|
120.98
|
120.98
|
120.98
|
169.55
|
169.55
|
169.55
|
169.55
|
218.11
|
218.11
|
218.11
|
218.11
|
286.1
|
286.1
|
286.1
|
286.1
|
109.06
|
109.06
|
109.06
|
109.06
|
157.62
|
157.62
|
157.62
|
157.62
|
225.61
|
225.61
|
225.61
|
225.61
|
50
|
See Plan Brochure
|
700
|
1400
|
No Charge
|
30% Coinsurance after deductible
|
60% Coinsurance after deductible
|
Not Covered
|
No Charge after Deductible
|
45% Coinsurance after deductible
|
65% Coinsurance after deductible
|
50%
|
|||||
|
AK
|
DILLINGHAM
|
Low
|
BEST Life
|
74819AK0010006
|
BEST Dental Basic - Silver
|
PPO
|
Rating Area 1
|
Allows Adult and Child-Only
|
HIOS
|
1-949-253-4080
|
1-800-433-0088
|
1-949-222-2134
|
http://www2.dentemax.com/
|
http://www.bestlife.com/AK/pdf/AK_BEST_Dental_Basic_Plan_(Silver).pdf
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
46.28
|
46.28
|
46.28
|
46.28
|
46.28
|
46.28
|
46.28
|
92.56
|
92.56
|
92.56
|
92.56
|
92.56
|
138.46
|
138.46
|
138.46
|
138.46
|
184.37
|
184.37
|
184.37
|
184.37
|
248.63
|
248.63
|
248.63
|
248.63
|
92.18
|
92.18
|
92.18
|
92.18
|
138.09
|
138.09
|
138.09
|
138.09
|
202.36
|
202.36
|
202.36
|
202.36
|
50
|
See Plan Brochure
|
700
|
1400
|
No Charge
|
50% Coinsurance after deductible
|
70% Coinsurance after deductible
|
Not Covered
|
No Charge after Deductible
|
45% Coinsurance after deductible
|
65% Coinsurance after deductible
|
50%
|
|||||
|
AK
|
DILLINGHAM
|
Low
|
Delta Dental of Alaska
|
21989AK0020002
|
Premier
|
PPO
|
Rating Area 1
|
Allows Adult and Child-Only
|
HIOS
|
1-888-873-1395
|
1-888-873-1395
|
1-888-873-1395
|
https://www.modahealth.com/ProviderSearch/faces/webpages/home.xhtml?dn=ods
|
https://www.modahealth.com/producers/grp/den.shtml
|
https://www.modahealth.com/producers/grp/den.shtml
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
32.45
|
32.45
|
32.45
|
32.45
|
32.45
|
32.45
|
32.45
|
64.9
|
64.9
|
64.9
|
64.9
|
64.9
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
50
|
$100
|
700
|
1400
|
20%
|
40%
|
50%
|
Not Covered
|
20%
|
40%
|
50%
|
50%
|
||||
|
AK
|
DILLINGHAM
|
Low
|
Guardian Life Insurance Company of America
|
42507AK0050001
|
Guardian Family Essentials Plus
|
Indemnity
|
Rating Area 1
|
Allows Adult and Child-Only
|
HIOS
|
1-888-600-1600
|
1-888-600-1600
|
https://www.guardiananytime.com/fpapp/FPWeb/dentalSearch.process
|
http://www.guardianlife.com/small-business-exchanges/
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
76.34
|
76.34
|
76.34
|
76.34
|
76.34
|
117.37
|
117.37
|
117.37
|
117.37
|
158.38
|
158.38
|
158.38
|
158.38
|
219.93
|
219.93
|
219.93
|
219.93
|
79.16
|
79.16
|
79.16
|
79.16
|
120.18
|
120.18
|
120.18
|
120.18
|
181.72
|
181.72
|
181.72
|
181.72
|
50
|
See Plan Brochure
|
700
|
1400
|
20%
|
30% Coinsurance after deductible
|
60% Coinsurance after deductible
|
Not Covered
|
20%
|
30% Coinsurance after deductible
|
60% Coinsurance after deductible
|
50%
|
||||||
|
AK
|
DILLINGHAM
|
Low
|
Guardian Life Insurance Company of America
|
42507AK0060001
|
Guardian Family Essentials
|
Indemnity
|
Rating Area 1
|
Allows Adult and Child-Only
|
HIOS
|
1-888-600-1600
|
1-888-600-1600
|
https://www.guardiananytime.com/fpapp/FPWeb/dentalSearch.process
|
http://www.guardianlife.com/small-business-exchanges/
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
76.34
|
76.34
|
76.34
|
76.34
|
76.34
|
113.45
|
113.45
|
113.45
|
113.45
|
150.56
|
150.56
|
150.56
|
150.56
|
206.22
|
206.22
|
206.22
|
206.22
|
75.23
|
75.23
|
75.23
|
75.23
|
112.35
|
112.35
|
112.35
|
112.35
|
168.01
|
168.01
|
168.01
|
168.01
|
50
|
See Plan Brochure
|
700
|
1400
|
20%
|
30% Coinsurance after deductible
|
60% Coinsurance after deductible
|
Not Covered
|
20%
|
30% Coinsurance after deductible
|
60% Coinsurance after deductible
|
50%
|
||||||
|
AK
|
FAIRBANKS NORTH STAR
|
Low
|
BEST Life
|
74819AK0010005
|
BEST Dental Plus - Silver
|
PPO
|
Rating Area 2
|
Allows Adult and Child-Only
|
HIOS
|
1-949-253-4080
|
1-800-433-0088
|
1-949-222-2134
|
http://www2.dentemax.com/
|
http://www.bestlife.com/AK/pdf/AK_BEST_Dental_Plus_Plan_(Silver).pdf
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
60.67
|
60.67
|
60.67
|
60.67
|
60.67
|
60.67
|
60.67
|
121.34
|
121.34
|
121.34
|
121.34
|
121.34
|
170.05
|
170.05
|
170.05
|
170.05
|
218.76
|
218.76
|
218.76
|
218.76
|
286.95
|
286.95
|
286.95
|
286.95
|
109.38
|
109.38
|
109.38
|
109.38
|
158.09
|
158.09
|
158.09
|
158.09
|
226.28
|
226.28
|
226.28
|
226.28
|
50
|
See Plan Brochure
|
700
|
1400
|
No Charge
|
30% Coinsurance after deductible
|
60% Coinsurance after deductible
|
Not Covered
|
No Charge after Deductible
|
45% Coinsurance after deductible
|
65% Coinsurance after deductible
|
50%
|
|||||
|
AK
|
FAIRBANKS NORTH STAR
|
Low
|
BEST Life
|
74819AK0010006
|
BEST Dental Basic - Silver
|
PPO
|
Rating Area 2
|
Allows Adult and Child-Only
|
HIOS
|
1-949-253-4080
|
1-800-433-0088
|
1-949-222-2134
|
http://www2.dentemax.com/
|
http://www.bestlife.com/AK/pdf/AK_BEST_Dental_Basic_Plan_(Silver).pdf
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
46.42
|
46.42
|
46.42
|
46.42
|
46.42
|
46.42
|
46.42
|
92.83
|
92.83
|
92.83
|
92.83
|
92.83
|
138.87
|
138.87
|
138.87
|
138.87
|
184.91
|
184.91
|
184.91
|
184.91
|
249.37
|
249.37
|
249.37
|
249.37
|
92.46
|
92.46
|
92.46
|
92.46
|
138.5
|
138.5
|
138.5
|
138.5
|
202.95
|
202.95
|
202.95
|
202.95
|
50
|
See Plan Brochure
|
700
|
1400
|
No Charge
|
50% Coinsurance after deductible
|
70% Coinsurance after deductible
|
Not Covered
|
No Charge after Deductible
|
45% Coinsurance after deductible
|
65% Coinsurance after deductible
|
50%
|
|||||
|
AK
|
FAIRBANKS NORTH STAR
|
Low
|
Delta Dental of Alaska
|
21989AK0020002
|
Premier
|
PPO
|
Rating Area 2
|
Allows Adult and Child-Only
|
HIOS
|
1-888-873-1395
|
1-888-873-1395
|
1-888-873-1395
|
https://www.modahealth.com/ProviderSearch/faces/webpages/home.xhtml?dn=ods
|
https://www.modahealth.com/producers/grp/den.shtml
|
https://www.modahealth.com/producers/grp/den.shtml
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
32.45
|
32.45
|
32.45
|
32.45
|
32.45
|
32.45
|
32.45
|
64.9
|
64.9
|
64.9
|
64.9
|
64.9
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
50
|
$100
|
700
|
1400
|
20%
|
40%
|
50%
|
Not Covered
|
20%
|
40%
|
50%
|
50%
|
||||
|
AK
|
FAIRBANKS NORTH STAR
|
Low
|
Guardian Life Insurance Company of America
|
42507AK0050001
|
Guardian Family Essentials Plus
|
Indemnity
|
Rating Area 2
|
Allows Adult and Child-Only
|
HIOS
|
1-888-600-1600
|
1-888-600-1600
|
https://www.guardiananytime.com/fpapp/FPWeb/dentalSearch.process
|
http://www.guardianlife.com/small-business-exchanges/
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
76.34
|
76.34
|
76.34
|
76.34
|
76.34
|
117.37
|
117.37
|
117.37
|
117.37
|
158.38
|
158.38
|
158.38
|
158.38
|
219.93
|
219.93
|
219.93
|
219.93
|
79.16
|
79.16
|
79.16
|
79.16
|
120.18
|
120.18
|
120.18
|
120.18
|
181.72
|
181.72
|
181.72
|
181.72
|
50
|
See Plan Brochure
|
700
|
1400
|
20%
|
30% Coinsurance after deductible
|
60% Coinsurance after deductible
|
Not Covered
|
20%
|
30% Coinsurance after deductible
|
60% Coinsurance after deductible
|
50%
|
||||||
|
AK
|
FAIRBANKS NORTH STAR
|
Low
|
Guardian Life Insurance Company of America
|
42507AK0060001
|
Guardian Family Essentials
|
Indemnity
|
Rating Area 2
|
Allows Adult and Child-Only
|
HIOS
|
1-888-600-1600
|
1-888-600-1600
|
https://www.guardiananytime.com/fpapp/FPWeb/dentalSearch.process
|
http://www.guardianlife.com/small-business-exchanges/
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
76.34
|
76.34
|
76.34
|
76.34
|
76.34
|
113.45
|
113.45
|
113.45
|
113.45
|
150.56
|
150.56
|
150.56
|
150.56
|
206.22
|
206.22
|
206.22
|
206.22
|
75.23
|
75.23
|
75.23
|
75.23
|
112.35
|
112.35
|
112.35
|
112.35
|
168.01
|
168.01
|
168.01
|
168.01
|
50
|
See Plan Brochure
|
700
|
1400
|
20%
|
30% Coinsurance after deductible
|
60% Coinsurance after deductible
|
Not Covered
|
20%
|
30% Coinsurance after deductible
|
60% Coinsurance after deductible
|
50%
|
||||||
|
AK
|
HAINES
|
Low
|
BEST Life
|
74819AK0010005
|
BEST Dental Plus - Silver
|
PPO
|
Rating Area 3
|
Allows Adult and Child-Only
|
HIOS
|
1-949-253-4080
|
1-800-433-0088
|
1-949-222-2134
|
http://www2.dentemax.com/
|
http://www.bestlife.com/AK/pdf/AK_BEST_Dental_Plus_Plan_(Silver).pdf
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
51.1
|
51.1
|
51.1
|
51.1
|
51.1
|
51.1
|
51.1
|
102.19
|
102.19
|
102.19
|
102.19
|
102.19
|
143.22
|
143.22
|
143.22
|
143.22
|
184.24
|
184.24
|
184.24
|
184.24
|
241.67
|
241.67
|
241.67
|
241.67
|
92.12
|
92.12
|
92.12
|
92.12
|
133.13
|
133.13
|
133.13
|
133.13
|
190.58
|
190.58
|
190.58
|
190.58
|
50
|
See Plan Brochure
|
700
|
1400
|
No Charge
|
30% Coinsurance after deductible
|
60% Coinsurance after deductible
|
Not Covered
|
No Charge after Deductible
|
45% Coinsurance after deductible
|
65% Coinsurance after deductible
|
50%
|
|||||
|
AK
|
HAINES
|
Low
|
BEST Life
|
74819AK0010006
|
BEST Dental Basic - Silver
|
PPO
|
Rating Area 3
|
Allows Adult and Child-Only
|
HIOS
|
1-949-253-4080
|
1-800-433-0088
|
1-949-222-2134
|
http://www2.dentemax.com/
|
http://www.bestlife.com/AK/pdf/AK_BEST_Dental_Basic_Plan_(Silver).pdf
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
39.09
|
39.09
|
39.09
|
39.09
|
39.09
|
39.09
|
39.09
|
78.18
|
78.18
|
78.18
|
78.18
|
78.18
|
116.96
|
116.96
|
116.96
|
116.96
|
155.74
|
155.74
|
155.74
|
155.74
|
210.02
|
210.02
|
210.02
|
210.02
|
77.87
|
77.87
|
77.87
|
77.87
|
116.64
|
116.64
|
116.64
|
116.64
|
170.93
|
170.93
|
170.93
|
170.93
|
50
|
See Plan Brochure
|
700
|
1400
|
No Charge
|
50% Coinsurance after deductible
|
70% Coinsurance after deductible
|
Not Covered
|
No Charge after Deductible
|
45% Coinsurance after deductible
|
65% Coinsurance after deductible
|
50%
|
|||||
|
AK
|
HAINES
|
Low
|
Delta Dental of Alaska
|
21989AK0020002
|
Premier
|
PPO
|
Rating Area 3
|
Allows Adult and Child-Only
|
HIOS
|
1-888-873-1395
|
1-888-873-1395
|
1-888-873-1395
|
https://www.modahealth.com/ProviderSearch/faces/webpages/home.xhtml?dn=ods
|
https://www.modahealth.com/producers/grp/den.shtml
|
https://www.modahealth.com/producers/grp/den.shtml
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
32.45
|
32.45
|
32.45
|
32.45
|
32.45
|
32.45
|
32.45
|
64.9
|
64.9
|
64.9
|
64.9
|
64.9
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
50
|
$100
|
700
|
1400
|
20%
|
40%
|
50%
|
Not Covered
|
20%
|
40%
|
50%
|
50%
|
||||
|
AK
|
HAINES
|
Low
|
Guardian Life Insurance Company of America
|
42507AK0050001
|
Guardian Family Essentials Plus
|
Indemnity
|
Rating Area 3
|
Allows Adult and Child-Only
|
HIOS
|
1-888-600-1600
|
1-888-600-1600
|
https://www.guardiananytime.com/fpapp/FPWeb/dentalSearch.process
|
http://www.guardianlife.com/small-business-exchanges/
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
76.34
|
76.34
|
76.34
|
76.34
|
76.34
|
117.37
|
117.37
|
117.37
|
117.37
|
158.38
|
158.38
|
158.38
|
158.38
|
219.93
|
219.93
|
219.93
|
219.93
|
79.16
|
79.16
|
79.16
|
79.16
|
120.18
|
120.18
|
120.18
|
120.18
|
181.72
|
181.72
|
181.72
|
181.72
|
50
|
See Plan Brochure
|
700
|
1400
|
20%
|
30% Coinsurance after deductible
|
60% Coinsurance after deductible
|
Not Covered
|
20%
|
30% Coinsurance after deductible
|
60% Coinsurance after deductible
|
50%
|
||||||
|
AK
|
HAINES
|
Low
|
Guardian Life Insurance Company of America
|
42507AK0060001
|
Guardian Family Essentials
|
Indemnity
|
Rating Area 3
|
Allows Adult and Child-Only
|
HIOS
|
1-888-600-1600
|
1-888-600-1600
|
https://www.guardiananytime.com/fpapp/FPWeb/dentalSearch.process
|
http://www.guardianlife.com/small-business-exchanges/
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
76.34
|
76.34
|
76.34
|
76.34
|
76.34
|
113.45
|
113.45
|
113.45
|
113.45
|
150.56
|
150.56
|
150.56
|
150.56
|
206.22
|
206.22
|
206.22
|
206.22
|
75.23
|
75.23
|
75.23
|
75.23
|
112.35
|
112.35
|
112.35
|
112.35
|
168.01
|
168.01
|
168.01
|
168.01
|
50
|
See Plan Brochure
|
700
|
1400
|
20%
|
30% Coinsurance after deductible
|
60% Coinsurance after deductible
|
Not Covered
|
20%
|
30% Coinsurance after deductible
|
60% Coinsurance after deductible
|
50%
|
||||||
|
AK
|
Hoonah-Angoon
|
Low
|
BEST Life
|
74819AK0010005
|
BEST Dental Plus - Silver
|
PPO
|
Rating Area 3
|
Allows Adult and Child-Only
|
HIOS
|
1-949-253-4080
|
1-800-433-0088
|
1-949-222-2134
|
http://www2.dentemax.com/
|
http://www.bestlife.com/AK/pdf/AK_BEST_Dental_Plus_Plan_(Silver).pdf
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
51.1
|
51.1
|
51.1
|
51.1
|
51.1
|
51.1
|
51.1
|
102.19
|
102.19
|
102.19
|
102.19
|
102.19
|
143.22
|
143.22
|
143.22
|
143.22
|
184.24
|
184.24
|
184.24
|
184.24
|
241.67
|
241.67
|
241.67
|
241.67
|
92.12
|
92.12
|
92.12
|
92.12
|
133.13
|
133.13
|
133.13
|
133.13
|
190.58
|
190.58
|
190.58
|
190.58
|
50
|
See Plan Brochure
|
700
|
1400
|
No Charge
|
30% Coinsurance after deductible
|
60% Coinsurance after deductible
|
Not Covered
|
No Charge after Deductible
|
45% Coinsurance after deductible
|
65% Coinsurance after deductible
|
50%
|
|||||
|
AK
|
Hoonah-Angoon
|
Low
|
BEST Life
|
74819AK0010006
|
BEST Dental Basic - Silver
|
PPO
|
Rating Area 3
|
Allows Adult and Child-Only
|
HIOS
|
1-949-253-4080
|
1-800-433-0088
|
1-949-222-2134
|
http://www2.dentemax.com/
|
http://www.bestlife.com/AK/pdf/AK_BEST_Dental_Basic_Plan_(Silver).pdf
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
39.09
|
39.09
|
39.09
|
39.09
|
39.09
|
39.09
|
39.09
|
78.18
|
78.18
|
78.18
|
78.18
|
78.18
|
116.96
|
116.96
|
116.96
|
116.96
|
155.74
|
155.74
|
155.74
|
155.74
|
210.02
|
210.02
|
210.02
|
210.02
|
77.87
|
77.87
|
77.87
|
77.87
|
116.64
|
116.64
|
116.64
|
116.64
|
170.93
|
170.93
|
170.93
|
170.93
|
50
|
See Plan Brochure
|
700
|
1400
|
No Charge
|
50% Coinsurance after deductible
|
70% Coinsurance after deductible
|
Not Covered
|
No Charge after Deductible
|
45% Coinsurance after deductible
|
65% Coinsurance after deductible
|
50%
|
|||||
|
AK
|
Hoonah-Angoon
|
Low
|
Delta Dental of Alaska
|
21989AK0020002
|
Premier
|
PPO
|
Rating Area 3
|
Allows Adult and Child-Only
|
HIOS
|
1-888-873-1395
|
1-888-873-1395
|
1-888-873-1395
|
https://www.modahealth.com/ProviderSearch/faces/webpages/home.xhtml?dn=ods
|
https://www.modahealth.com/producers/grp/den.shtml
|
https://www.modahealth.com/producers/grp/den.shtml
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
32.45
|
32.45
|
32.45
|
32.45
|
32.45
|
32.45
|
32.45
|
64.9
|
64.9
|
64.9
|
64.9
|
64.9
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
126.95
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
94.5
|
50
|
$100
|
700
|
1400
|
20%
|
40%
|
50%
|
Not Covered
|
20%
|
40%
|
50%
|
50%
|
||||
|
AK
|
Hoonah-Angoon
|
Low
|
Guardian Life Insurance Company of America
|
42507AK0050001
|
Guardian Family Essentials Plus
|
Indemnity
|
Rating Area 3
|
Allows Adult and Child-Only
|
HIOS
|
1-888-600-1600
|
1-888-600-1600
|
https://www.guardiananytime.com/fpapp/FPWeb/dentalSearch.process
|
http://www.guardianlife.com/small-business-exchanges/
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
76.34
|
76.34
|
76.34
|
76.34
|
76.34
|
117.37
|
117.37
|
117.37
|
117.37
|
158.38
|
158.38
|
158.38
|
158.38
|
219.93
|
219.93
|
219.93
|
219.93
|
79.16
|
79.16
|
79.16
|
79.16
|
120.18
|
120.18
|
120.18
|
120.18
|
181.72
|
181.72
|
181.72
|
181.72
|
50
|
See Plan Brochure
|
700
|
1400
|
20%
|
30% Coinsurance after deductible
|
60% Coinsurance after deductible
|
Not Covered
|
20%
|
30% Coinsurance after deductible
|
60% Coinsurance after deductible
|
50%
|
||||||
|
AK
|
Hoonah-Angoon
|
Low
|
Guardian Life Insurance Company of America
|
42507AK0060001
|
Guardian Family Essentials
|
Indemnity
|
Rating Area 3
|
Allows Adult and Child-Only
|
HIOS
|
1-888-600-1600
|
1-888-600-1600
|
https://www.guardiananytime.com/fpapp/FPWeb/dentalSearch.process
|
http://www.guardianlife.com/small-business-exchanges/
|
X
|
X
|
X
|
X
|
X
|
X
|
X
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
38.13
|
76.34
|
76.34
|
76.34
|
76.34
|
76.34
|
113.45
|
113.45
|
113.45
|
113.45
|
150.56
|
150.56
|
150.56
|
150.56
|
206.22
|
206.22
|
206.22
|
206.22
|
75.23
|
75.23
|
75.23
|
75.23
|
112.35
|
112.35
|
112.35
|
112.35
|
168.01
|
168.01
|
168.01
|
168.01
|
50
|
See Plan Brochure
|
700
|
1400
|
20%
|
30% Coinsurance after deductible
|
60% Coinsurance after deductible
|
Not Covered
|
20%
|
30% Coinsurance after deductible
|
60% Coinsurance after deductible
|
50%
|
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