QHP Landscape NM Individual Market Dental

State Want total control? Request access to start using the data.	County Want total control? Request access to start using the data.	Metal Level Want total control? Request access to start using the data.	Issuer Name Want total control? Request access to start using the data.	Plan Id (Standard Component) Want total control? Request access to start using the data.	Plan Marketing Name Want total control? Request access to start using the data.	Plan Type Want total control? Request access to start using the data.	Rating Area Want total control? Request access to start using the data.	Child Only Offering Want total control? Request access to start using the data.	Source Want total control? Request access to start using the data.	Customer Service Phone Number Local Want total control? Request access to start using the data.	Customer Service Phone Number Toll Free Want total control? Request access to start using the data.	Customer Service Phone Number Tty Want total control? Request access to start using the data.	Network Url Want total control? Request access to start using the data.	Plan Brochure Url Want total control? Request access to start using the data.	Summary Of Benefits Url Want total control? Request access to start using the data.	Routine Dental Services Adult 1 Want total control? Request access to start using the data.	Basic Dental Care - Adult Want total control? Request access to start using the data.	Major Dental Care - Adult Want total control? Request access to start using the data.	Dental Check-Up For Children Want total control? Request access to start using the data.	Basic Dental Care - Child Want total control? Request access to start using the data.	Major Dental Care - Child Want total control? Request access to start using the data.	Orthodontia Child 1 Want total control? Request access to start using the data.	Premium Child Want total control? Request access to start using the data.	Premium Adult Individual Age 21 Want total control? Request access to start using the data.	Premium Adult Individual Age 27 Want total control? Request access to start using the data.	Premium Adult Individual Age 30 Want total control? Request access to start using the data.	Premium Adult Individual Age 40 Want total control? Request access to start using the data.	Premium Adult Individual Age 50 Want total control? Request access to start using the data.	Premium Adult Individual Age 60 Want total control? Request access to start using the data.	Premium Couple 21 Want total control? Request access to start using the data.	Premium Couple 30 Want total control? Request access to start using the data.	Premium Couple 40 Want total control? Request access to start using the data.	Premium Couple 50 Want total control? Request access to start using the data.	Premium Couple 60 Want total control? Request access to start using the data.	Couple+1 Child, Age 21 Want total control? Request access to start using the data.	Couple+1 Child, Age 30 Want total control? Request access to start using the data.	Couple+1 Child, Age 40 Want total control? Request access to start using the data.	Couple+1 Child, Age 50 Want total control? Request access to start using the data.	Couple+2 Children, Age 21 Want total control? Request access to start using the data.	Couple+2 Children, Age 30 Want total control? Request access to start using the data.	Couple+2 Children, Age 40 Want total control? Request access to start using the data.	Couple+2 Children, Age 50 Want total control? Request access to start using the data.	Couple+3 Or More Children, Age 21 Want total control? Request access to start using the data.	Couple+3 Or More Children, Age 30 Want total control? Request access to start using the data.	Couple+3 Or More Children, Age 40 Want total control? Request access to start using the data.	Couple+3 Or More Children, Age 50 Want total control? Request access to start using the data.	Individual+1 Child, Age 21 Want total control? Request access to start using the data.	Individual+1 Child, Age 30 Want total control? Request access to start using the data.	Individual+1 Child, Age 40 Want total control? Request access to start using the data.	Individual+1 Child, Age 50 Want total control? Request access to start using the data.	Individual+2 Children, Age 21 Want total control? Request access to start using the data.	Individual+2 Children, Age 30 Want total control? Request access to start using the data.	Individual+2 Children, Age 40 Want total control? Request access to start using the data.	Individual+2 Children, Age 50 Want total control? Request access to start using the data.	Individual+3 Or More Children, Age 21 Want total control? Request access to start using the data.	Individual+3 Or More Children, Age 30 Want total control? Request access to start using the data.	Individual+3 Or More Children, Age 40 Want total control? Request access to start using the data.	Individual+3 Or More Children, Age 50 Want total control? Request access to start using the data.	Dental Deductible -Individual Want total control? Request access to start using the data.	Dental Deductible - Family Want total control? Request access to start using the data.	Maximum Out Of Pocket -Individual Want total control? Request access to start using the data.	Maximum Out Of Pocket - Family Want total control? Request access to start using the data.	Routine Dental Services Adult Want total control? Request access to start using the data.	Basic Dental Adult Want total control? Request access to start using the data.	Major Dental Adult Want total control? Request access to start using the data.	Orthodontia Adult Want total control? Request access to start using the data.	Dental Check-Up Child Want total control? Request access to start using the data.	Basic Dental Child Want total control? Request access to start using the data.	Major Dental Child Want total control? Request access to start using the data.	Orthodontia Child Want total control? Request access to start using the data.
NM	BERNALILLO	High	BEST Life	26075NM0020001	BESTOne Child Dental Plus	PPO	Rating Area 1	Allows Child-Only	SERFF	1-949-253-4080	1-800-433-0088	1-949-222-2134	http://www2.dentemax.com/	http://www.bestlife.com/NM/pdf/NM_BESTOne_Child_Denta_Plus_Plan.pdf					X	X	X	X	26.11																																				50	See Plan Brochure	700	1400	Not Covered	Not Covered	Not Covered	Not Covered	No Charge	20% Coinsurance after deductible	50% Coinsurance after deductible	0.5
NM	BERNALILLO	High	Blue Cross Blue Shield of New Mexico	75605NM0430003	BlueCare Dental 4 Kids 1A	PPO	Rating Area 1	Allows Child-Only	SERFF	1-866-236-1702	1-866-236-1702	1-855-543-4921	https://public.hcsc.net/providerfinder/home.do?corpEntCd=NM1	http://www.bcbsnm.com/coverage/individual/on-exchange/dental/					X	X	X	X	41.62																																				25	$75	700	1400	Not Covered	Not Covered	Not Covered	Not Covered	No Charge	20% Coinsurance after deductible	50% Coinsurance after deductible	0.5
NM	BERNALILLO	High	Renaissance Dental	17911NM0090001	Delta Dental Individual Pediatric-Only PPO, EHB Certified (Exchange)	PPO	Rating Area 1	Allows Child-Only	SERFF	1-800-971-4108			http://www.deltadental.com/DentistSearch/DentistSearchController.ccl	http://www.deltadentalnm.com/NM_EHB_Plan_Brochure	http://www.deltadentalnm.com/NM_Ped_High				X	X	X	X	37.15																																				50	See Plan Brochure	700	1400	Not Covered	Not Covered	Not Covered	Not Covered	No Charge	10% Coinsurance after deductible	50% Coinsurance after deductible	0.5
NM	BERNALILLO	Low	BEST Life	26075NM0020005	BESTOne Dental Plus - Silver	PPO	Rating Area 1	Allows Adult and Child-Only	SERFF	1-949-253-4080	1-800-433-0088	1-949-222-2134	http://www2.dentemax.com/	http://www.bestlife.com/NM/pdf/NM_BESTOne_Dental_Plus_Plan_(Silver).pdf		X	X	X	X	X	X	X	32.65	32.65	32.65	32.65	32.65	32.65	32.65	65.29	65.29	65.29	65.29	65.29	86.97	86.97	86.97	86.97	108.65	108.65	108.65	108.65	139.01	139.01	139.01	139.01	54.33	54.33	54.33	54.33	76.01	76.01	76.01	76.01	106.36	106.36	106.36	106.36	50	See Plan Brochure	700	1400	No Charge	30% Coinsurance after deductible	60% Coinsurance after deductible	Not Covered	No Charge after Deductible	40% Coinsurance after deductible	50% Coinsurance after deductible	0.5
NM	BERNALILLO	Low	BEST Life	26075NM0020006	BESTOne Dental Basic - Silver	PPO	Rating Area 1	Allows Adult and Child-Only	SERFF	1-949-253-4080	1-800-433-0088	1-949-222-2134	http://www2.dentemax.com/	http://www.bestlife.com/NM/pdf/NM_BESTOne_Dental_Basic_Plan_(Silver).pdf		X	X	X	X	X	X	X	25.4	25.4	25.4	25.4	25.4	25.4	25.4	50.8	50.8	50.8	50.8	50.8	71.13	71.13	71.13	71.13	91.45	91.45	91.45	91.45	119.91	119.91	119.91	119.91	45.73	45.73	45.73	45.73	66.05	66.05	66.05	66.05	94.5	94.5	94.5	94.5	50	See Plan Brochure	700	1400	No Charge	50% Coinsurance after deductible	70% Coinsurance after deductible	Not Covered	No Charge after Deductible	40% Coinsurance after deductible	50% Coinsurance after deductible	0.5
NM	BERNALILLO	Low	Blue Cross Blue Shield of New Mexico	75605NM0430002	BlueCare Dental 1B	PPO	Rating Area 1	Allows Adult and Child-Only	SERFF	1-866-236-1702	1-866-236-1702	1-855-543-4921	https://public.hcsc.net/providerfinder/home.do?corpEntCd=NM1	http://www.bcbsnm.com/coverage/individual/on-exchange/dental/		X	X	X	X	X	X	X	33.07	24.85	24.85	24.85	24.85	24.85	24.85	49.7	49.7	49.7	49.7	49.7	82.77	82.77	82.77	82.77	115.84	115.84	115.84	115.84	148.91	148.91	148.91	148.91	57.92	57.92	57.92	57.92	90.99	90.99	90.99	90.99	124.06	124.06	124.06	124.06	75	$225	700	1400	10%	30% Coinsurance after deductible	50% Coinsurance after deductible	Not Covered	10%	30% Coinsurance after deductible	50% Coinsurance after deductible	0.5
NM	BERNALILLO	Low	Renaissance Dental	17911NM0060002	Delta Dental Individual PPO, EHB Certified (Exchange)	PPO	Rating Area 1	Allows Adult and Child-Only	SERFF	1-800-971-4108			http://www.deltadental.com/DentistSearch/DentistSearchController.ccl	http://www.deltadentalnm.com/NM_EHB_Plan_Brochure	http://www.deltadentalnm.com/NM_EHB_Low	X	X	X	X	X	X	X	30.53	30.53	21.72	21.72	23.41	29.15	35.15	61.06	43.44	46.82	58.3	70.31	91.59	73.97	77.34	88.83	122.12	104.5	107.88	119.36	152.65	135.03	138.41	149.88	61.06	52.25	53.94	59.68	91.59	82.78	84.47	90.21	122.12	113.31	115	120.74	50	See Plan Brochure	700	1400	10%	40% Coinsurance after deductible	50% Coinsurance after deductible	Not Covered	10%	40% Coinsurance after deductible	50% Coinsurance after deductible	0.5
NM	CATRON	High	BEST Life	26075NM0020001	BESTOne Child Dental Plus	PPO	Rating Area 5	Allows Child-Only	SERFF	1-949-253-4080	1-800-433-0088	1-949-222-2134	http://www2.dentemax.com/	http://www.bestlife.com/NM/pdf/NM_BESTOne_Child_Denta_Plus_Plan.pdf					X	X	X	X	24.34																																				50	See Plan Brochure	700	1400	Not Covered	Not Covered	Not Covered	Not Covered	No Charge	20% Coinsurance after deductible	50% Coinsurance after deductible	0.5
NM	CATRON	High	Blue Cross Blue Shield of New Mexico	75605NM0430003	BlueCare Dental 4 Kids 1A	PPO	Rating Area 5	Allows Child-Only	SERFF	1-866-236-1702	1-866-236-1702	1-855-543-4921	https://public.hcsc.net/providerfinder/home.do?corpEntCd=NM1	http://www.bcbsnm.com/coverage/individual/on-exchange/dental/					X	X	X	X	41.62																																				25	$75	700	1400	Not Covered	Not Covered	Not Covered	Not Covered	No Charge	20% Coinsurance after deductible	50% Coinsurance after deductible	0.5
NM	CATRON	High	Renaissance Dental	17911NM0090001	Delta Dental Individual Pediatric-Only PPO, EHB Certified (Exchange)	PPO	Rating Area 5	Allows Child-Only	SERFF	1-800-971-4108			http://www.deltadental.com/DentistSearch/DentistSearchController.ccl	http://www.deltadentalnm.com/NM_EHB_Plan_Brochure	http://www.deltadentalnm.com/NM_Ped_High				X	X	X	X	29.17																																				50	See Plan Brochure	700	1400	Not Covered	Not Covered	Not Covered	Not Covered	No Charge	10% Coinsurance after deductible	50% Coinsurance after deductible	0.5
NM	CATRON	Low	BEST Life	26075NM0020005	BESTOne Dental Plus - Silver	PPO	Rating Area 5	Allows Adult and Child-Only	SERFF	1-949-253-4080	1-800-433-0088	1-949-222-2134	http://www2.dentemax.com/	http://www.bestlife.com/NM/pdf/NM_BESTOne_Dental_Plus_Plan_(Silver).pdf		X	X	X	X	X	X	X	30.43	30.43	30.43	30.43	30.43	30.43	30.43	60.86	60.86	60.86	60.86	60.86	81.06	81.06	81.06	81.06	101.28	101.28	101.28	101.28	129.58	129.58	129.58	129.58	50.64	50.64	50.64	50.64	70.84	70.84	70.84	70.84	99.14	99.14	99.14	99.14	50	See Plan Brochure	700	1400	No Charge	30% Coinsurance after deductible	60% Coinsurance after deductible	Not Covered	No Charge after Deductible	40% Coinsurance after deductible	50% Coinsurance after deductible	0.5
NM	CATRON	Low	BEST Life	26075NM0020006	BESTOne Dental Basic - Silver	PPO	Rating Area 5	Allows Adult and Child-Only	SERFF	1-949-253-4080	1-800-433-0088	1-949-222-2134	http://www2.dentemax.com/	http://www.bestlife.com/NM/pdf/NM_BESTOne_Dental_Basic_Plan_(Silver).pdf		X	X	X	X	X	X	X	23.68	23.68	23.68	23.68	23.68	23.68	23.68	47.36	47.36	47.36	47.36	47.36	66.3	66.3	66.3	66.3	85.25	85.25	85.25	85.25	111.77	111.77	111.77	111.77	42.62	42.62	42.62	42.62	61.57	61.57	61.57	61.57	88.09	88.09	88.09	88.09	50	See Plan Brochure	700	1400	No Charge	50% Coinsurance after deductible	70% Coinsurance after deductible	Not Covered	No Charge after Deductible	40% Coinsurance after deductible	50% Coinsurance after deductible	0.5
NM	CATRON	Low	Blue Cross Blue Shield of New Mexico	75605NM0430002	BlueCare Dental 1B	PPO	Rating Area 5	Allows Adult and Child-Only	SERFF	1-866-236-1702	1-866-236-1702	1-855-543-4921	https://public.hcsc.net/providerfinder/home.do?corpEntCd=NM1	http://www.bcbsnm.com/coverage/individual/on-exchange/dental/		X	X	X	X	X	X	X	33.07	24.85	24.85	24.85	24.85	24.85	24.85	49.7	49.7	49.7	49.7	49.7	82.77	82.77	82.77	82.77	115.84	115.84	115.84	115.84	148.91	148.91	148.91	148.91	57.92	57.92	57.92	57.92	90.99	90.99	90.99	90.99	124.06	124.06	124.06	124.06	75	$225	700	1400	10%	30% Coinsurance after deductible	50% Coinsurance after deductible	Not Covered	10%	30% Coinsurance after deductible	50% Coinsurance after deductible	0.5
NM	CATRON	Low	Renaissance Dental	17911NM0060002	Delta Dental Individual PPO, EHB Certified (Exchange)	PPO	Rating Area 5	Allows Adult and Child-Only	SERFF	1-800-971-4108			http://www.deltadental.com/DentistSearch/DentistSearchController.ccl	http://www.deltadentalnm.com/NM_EHB_Plan_Brochure	http://www.deltadentalnm.com/NM_EHB_Low	X	X	X	X	X	X	X	23.96	23.96	17.05	17.05	18.38	22.88	27.6	47.92	34.1	36.76	45.76	55.2	71.88	58.06	60.72	69.72	95.84	82.02	84.68	93.68	119.8	105.97	108.63	117.63	47.92	41.01	42.34	46.84	71.88	64.97	66.3	70.8	95.84	88.92	90.25	94.75	50	See Plan Brochure	700	1400	10%	40% Coinsurance after deductible	50% Coinsurance after deductible	Not Covered	10%	40% Coinsurance after deductible	50% Coinsurance after deductible	0.5
NM	CHAVES	High	BEST Life	26075NM0020001	BESTOne Child Dental Plus	PPO	Rating Area 5	Allows Child-Only	SERFF	1-949-253-4080	1-800-433-0088	1-949-222-2134	http://www2.dentemax.com/	http://www.bestlife.com/NM/pdf/NM_BESTOne_Child_Denta_Plus_Plan.pdf					X	X	X	X	24.34																																				50	See Plan Brochure	700	1400	Not Covered	Not Covered	Not Covered	Not Covered	No Charge	20% Coinsurance after deductible	50% Coinsurance after deductible	0.5
NM	CHAVES	High	Blue Cross Blue Shield of New Mexico	75605NM0430003	BlueCare Dental 4 Kids 1A	PPO	Rating Area 5	Allows Child-Only	SERFF	1-866-236-1702	1-866-236-1702	1-855-543-4921	https://public.hcsc.net/providerfinder/home.do?corpEntCd=NM1	http://www.bcbsnm.com/coverage/individual/on-exchange/dental/					X	X	X	X	41.62																																				25	$75	700	1400	Not Covered	Not Covered	Not Covered	Not Covered	No Charge	20% Coinsurance after deductible	50% Coinsurance after deductible	0.5
NM	CHAVES	High	Renaissance Dental	17911NM0090001	Delta Dental Individual Pediatric-Only PPO, EHB Certified (Exchange)	PPO	Rating Area 5	Allows Child-Only	SERFF	1-800-971-4108			http://www.deltadental.com/DentistSearch/DentistSearchController.ccl	http://www.deltadentalnm.com/NM_EHB_Plan_Brochure	http://www.deltadentalnm.com/NM_Ped_High				X	X	X	X	29.17																																				50	See Plan Brochure	700	1400	Not Covered	Not Covered	Not Covered	Not Covered	No Charge	10% Coinsurance after deductible	50% Coinsurance after deductible	0.5
NM	CHAVES	Low	BEST Life	26075NM0020005	BESTOne Dental Plus - Silver	PPO	Rating Area 5	Allows Adult and Child-Only	SERFF	1-949-253-4080	1-800-433-0088	1-949-222-2134	http://www2.dentemax.com/	http://www.bestlife.com/NM/pdf/NM_BESTOne_Dental_Plus_Plan_(Silver).pdf		X	X	X	X	X	X	X	30.43	30.43	30.43	30.43	30.43	30.43	30.43	60.86	60.86	60.86	60.86	60.86	81.06	81.06	81.06	81.06	101.28	101.28	101.28	101.28	129.58	129.58	129.58	129.58	50.64	50.64	50.64	50.64	70.84	70.84	70.84	70.84	99.14	99.14	99.14	99.14	50	See Plan Brochure	700	1400	No Charge	30% Coinsurance after deductible	60% Coinsurance after deductible	Not Covered	No Charge after Deductible	40% Coinsurance after deductible	50% Coinsurance after deductible	0.5
NM	CHAVES	Low	BEST Life	26075NM0020006	BESTOne Dental Basic - Silver	PPO	Rating Area 5	Allows Adult and Child-Only	SERFF	1-949-253-4080	1-800-433-0088	1-949-222-2134	http://www2.dentemax.com/	http://www.bestlife.com/NM/pdf/NM_BESTOne_Dental_Basic_Plan_(Silver).pdf		X	X	X	X	X	X	X	23.68	23.68	23.68	23.68	23.68	23.68	23.68	47.36	47.36	47.36	47.36	47.36	66.3	66.3	66.3	66.3	85.25	85.25	85.25	85.25	111.77	111.77	111.77	111.77	42.62	42.62	42.62	42.62	61.57	61.57	61.57	61.57	88.09	88.09	88.09	88.09	50	See Plan Brochure	700	1400	No Charge	50% Coinsurance after deductible	70% Coinsurance after deductible	Not Covered	No Charge after Deductible	40% Coinsurance after deductible	50% Coinsurance after deductible	0.5
NM	CHAVES	Low	Blue Cross Blue Shield of New Mexico	75605NM0430002	BlueCare Dental 1B	PPO	Rating Area 5	Allows Adult and Child-Only	SERFF	1-866-236-1702	1-866-236-1702	1-855-543-4921	https://public.hcsc.net/providerfinder/home.do?corpEntCd=NM1	http://www.bcbsnm.com/coverage/individual/on-exchange/dental/		X	X	X	X	X	X	X	33.07	24.85	24.85	24.85	24.85	24.85	24.85	49.7	49.7	49.7	49.7	49.7	82.77	82.77	82.77	82.77	115.84	115.84	115.84	115.84	148.91	148.91	148.91	148.91	57.92	57.92	57.92	57.92	90.99	90.99	90.99	90.99	124.06	124.06	124.06	124.06	75	$225	700	1400	10%	30% Coinsurance after deductible	50% Coinsurance after deductible	Not Covered	10%	30% Coinsurance after deductible	50% Coinsurance after deductible	0.5
NM	CHAVES	Low	Renaissance Dental	17911NM0060002	Delta Dental Individual PPO, EHB Certified (Exchange)	PPO	Rating Area 5	Allows Adult and Child-Only	SERFF	1-800-971-4108			http://www.deltadental.com/DentistSearch/DentistSearchController.ccl	http://www.deltadentalnm.com/NM_EHB_Plan_Brochure	http://www.deltadentalnm.com/NM_EHB_Low	X	X	X	X	X	X	X	23.96	23.96	17.05	17.05	18.38	22.88	27.6	47.92	34.1	36.76	45.76	55.2	71.88	58.06	60.72	69.72	95.84	82.02	84.68	93.68	119.8	105.97	108.63	117.63	47.92	41.01	42.34	46.84	71.88	64.97	66.3	70.8	95.84	88.92	90.25	94.75	50	See Plan Brochure	700	1400	10%	40% Coinsurance after deductible	50% Coinsurance after deductible	Not Covered	10%	40% Coinsurance after deductible	50% Coinsurance after deductible	0.5
NM	CIBOLA	High	BEST Life	26075NM0020001	BESTOne Child Dental Plus	PPO	Rating Area 5	Allows Child-Only	SERFF	1-949-253-4080	1-800-433-0088	1-949-222-2134	http://www2.dentemax.com/	http://www.bestlife.com/NM/pdf/NM_BESTOne_Child_Denta_Plus_Plan.pdf					X	X	X	X	24.34																																				50	See Plan Brochure	700	1400	Not Covered	Not Covered	Not Covered	Not Covered	No Charge	20% Coinsurance after deductible	50% Coinsurance after deductible	0.5
NM	CIBOLA	High	Blue Cross Blue Shield of New Mexico	75605NM0430003	BlueCare Dental 4 Kids 1A	PPO	Rating Area 5	Allows Child-Only	SERFF	1-866-236-1702	1-866-236-1702	1-855-543-4921	https://public.hcsc.net/providerfinder/home.do?corpEntCd=NM1	http://www.bcbsnm.com/coverage/individual/on-exchange/dental/					X	X	X	X	41.62																																				25	$75	700	1400	Not Covered	Not Covered	Not Covered	Not Covered	No Charge	20% Coinsurance after deductible	50% Coinsurance after deductible	0.5
NM	CIBOLA	High	Renaissance Dental	17911NM0090001	Delta Dental Individual Pediatric-Only PPO, EHB Certified (Exchange)	PPO	Rating Area 5	Allows Child-Only	SERFF	1-800-971-4108			http://www.deltadental.com/DentistSearch/DentistSearchController.ccl	http://www.deltadentalnm.com/NM_EHB_Plan_Brochure	http://www.deltadentalnm.com/NM_Ped_High				X	X	X	X	29.17																																				50	See Plan Brochure	700	1400	Not Covered	Not Covered	Not Covered	Not Covered	No Charge	10% Coinsurance after deductible	50% Coinsurance after deductible	0.5
NM	CIBOLA	Low	BEST Life	26075NM0020005	BESTOne Dental Plus - Silver	PPO	Rating Area 5	Allows Adult and Child-Only	SERFF	1-949-253-4080	1-800-433-0088	1-949-222-2134	http://www2.dentemax.com/	http://www.bestlife.com/NM/pdf/NM_BESTOne_Dental_Plus_Plan_(Silver).pdf		X	X	X	X	X	X	X	30.43	30.43	30.43	30.43	30.43	30.43	30.43	60.86	60.86	60.86	60.86	60.86	81.06	81.06	81.06	81.06	101.28	101.28	101.28	101.28	129.58	129.58	129.58	129.58	50.64	50.64	50.64	50.64	70.84	70.84	70.84	70.84	99.14	99.14	99.14	99.14	50	See Plan Brochure	700	1400	No Charge	30% Coinsurance after deductible	60% Coinsurance after deductible	Not Covered	No Charge after Deductible	40% Coinsurance after deductible	50% Coinsurance after deductible	0.5
NM	CIBOLA	Low	BEST Life	26075NM0020006	BESTOne Dental Basic - Silver	PPO	Rating Area 5	Allows Adult and Child-Only	SERFF	1-949-253-4080	1-800-433-0088	1-949-222-2134	http://www2.dentemax.com/	http://www.bestlife.com/NM/pdf/NM_BESTOne_Dental_Basic_Plan_(Silver).pdf		X	X	X	X	X	X	X	23.68	23.68	23.68	23.68	23.68	23.68	23.68	47.36	47.36	47.36	47.36	47.36	66.3	66.3	66.3	66.3	85.25	85.25	85.25	85.25	111.77	111.77	111.77	111.77	42.62	42.62	42.62	42.62	61.57	61.57	61.57	61.57	88.09	88.09	88.09	88.09	50	See Plan Brochure	700	1400	No Charge	50% Coinsurance after deductible	70% Coinsurance after deductible	Not Covered	No Charge after Deductible	40% Coinsurance after deductible	50% Coinsurance after deductible	0.5
NM	CIBOLA	Low	Blue Cross Blue Shield of New Mexico	75605NM0430002	BlueCare Dental 1B	PPO	Rating Area 5	Allows Adult and Child-Only	SERFF	1-866-236-1702	1-866-236-1702	1-855-543-4921	https://public.hcsc.net/providerfinder/home.do?corpEntCd=NM1	http://www.bcbsnm.com/coverage/individual/on-exchange/dental/		X	X	X	X	X	X	X	33.07	24.85	24.85	24.85	24.85	24.85	24.85	49.7	49.7	49.7	49.7	49.7	82.77	82.77	82.77	82.77	115.84	115.84	115.84	115.84	148.91	148.91	148.91	148.91	57.92	57.92	57.92	57.92	90.99	90.99	90.99	90.99	124.06	124.06	124.06	124.06	75	$225	700	1400	10%	30% Coinsurance after deductible	50% Coinsurance after deductible	Not Covered	10%	30% Coinsurance after deductible	50% Coinsurance after deductible	0.5
NM	CIBOLA	Low	Renaissance Dental	17911NM0060002	Delta Dental Individual PPO, EHB Certified (Exchange)	PPO	Rating Area 5	Allows Adult and Child-Only	SERFF	1-800-971-4108			http://www.deltadental.com/DentistSearch/DentistSearchController.ccl	http://www.deltadentalnm.com/NM_EHB_Plan_Brochure	http://www.deltadentalnm.com/NM_EHB_Low	X	X	X	X	X	X	X	23.96	23.96	17.05	17.05	18.38	22.88	27.6	47.92	34.1	36.76	45.76	55.2	71.88	58.06	60.72	69.72	95.84	82.02	84.68	93.68	119.8	105.97	108.63	117.63	47.92	41.01	42.34	46.84	71.88	64.97	66.3	70.8	95.84	88.92	90.25	94.75	50	See Plan Brochure	700	1400	10%	40% Coinsurance after deductible	50% Coinsurance after deductible	Not Covered	10%	40% Coinsurance after deductible	50% Coinsurance after deductible	0.5
NM	COLFAX	High	BEST Life	26075NM0020001	BESTOne Child Dental Plus	PPO	Rating Area 5	Allows Child-Only	SERFF	1-949-253-4080	1-800-433-0088	1-949-222-2134	http://www2.dentemax.com/	http://www.bestlife.com/NM/pdf/NM_BESTOne_Child_Denta_Plus_Plan.pdf					X	X	X	X	24.34																																				50	See Plan Brochure	700	1400	Not Covered	Not Covered	Not Covered	Not Covered	No Charge	20% Coinsurance after deductible	50% Coinsurance after deductible	0.5
NM	COLFAX	High	Blue Cross Blue Shield of New Mexico	75605NM0430003	BlueCare Dental 4 Kids 1A	PPO	Rating Area 5	Allows Child-Only	SERFF	1-866-236-1702	1-866-236-1702	1-855-543-4921	https://public.hcsc.net/providerfinder/home.do?corpEntCd=NM1	http://www.bcbsnm.com/coverage/individual/on-exchange/dental/					X	X	X	X	41.62																																				25	$75	700	1400	Not Covered	Not Covered	Not Covered	Not Covered	No Charge	20% Coinsurance after deductible	50% Coinsurance after deductible	0.5
NM	COLFAX	High	Renaissance Dental	17911NM0090001	Delta Dental Individual Pediatric-Only PPO, EHB Certified (Exchange)	PPO	Rating Area 5	Allows Child-Only	SERFF	1-800-971-4108			http://www.deltadental.com/DentistSearch/DentistSearchController.ccl	http://www.deltadentalnm.com/NM_EHB_Plan_Brochure	http://www.deltadentalnm.com/NM_Ped_High				X	X	X	X	29.17																																				50	See Plan Brochure	700	1400	Not Covered	Not Covered	Not Covered	Not Covered	No Charge	10% Coinsurance after deductible	50% Coinsurance after deductible	0.5
NM	COLFAX	Low	BEST Life	26075NM0020005	BESTOne Dental Plus - Silver	PPO	Rating Area 5	Allows Adult and Child-Only	SERFF	1-949-253-4080	1-800-433-0088	1-949-222-2134	http://www2.dentemax.com/	http://www.bestlife.com/NM/pdf/NM_BESTOne_Dental_Plus_Plan_(Silver).pdf		X	X	X	X	X	X	X	30.43	30.43	30.43	30.43	30.43	30.43	30.43	60.86	60.86	60.86	60.86	60.86	81.06	81.06	81.06	81.06	101.28	101.28	101.28	101.28	129.58	129.58	129.58	129.58	50.64	50.64	50.64	50.64	70.84	70.84	70.84	70.84	99.14	99.14	99.14	99.14	50	See Plan Brochure	700	1400	No Charge	30% Coinsurance after deductible	60% Coinsurance after deductible	Not Covered	No Charge after Deductible	40% Coinsurance after deductible	50% Coinsurance after deductible	0.5
NM	COLFAX	Low	BEST Life	26075NM0020006	BESTOne Dental Basic - Silver	PPO	Rating Area 5	Allows Adult and Child-Only	SERFF	1-949-253-4080	1-800-433-0088	1-949-222-2134	http://www2.dentemax.com/	http://www.bestlife.com/NM/pdf/NM_BESTOne_Dental_Basic_Plan_(Silver).pdf		X	X	X	X	X	X	X	23.68	23.68	23.68	23.68	23.68	23.68	23.68	47.36	47.36	47.36	47.36	47.36	66.3	66.3	66.3	66.3	85.25	85.25	85.25	85.25	111.77	111.77	111.77	111.77	42.62	42.62	42.62	42.62	61.57	61.57	61.57	61.57	88.09	88.09	88.09	88.09	50	See Plan Brochure	700	1400	No Charge	50% Coinsurance after deductible	70% Coinsurance after deductible	Not Covered	No Charge after Deductible	40% Coinsurance after deductible	50% Coinsurance after deductible	0.5
NM	COLFAX	Low	Blue Cross Blue Shield of New Mexico	75605NM0430002	BlueCare Dental 1B	PPO	Rating Area 5	Allows Adult and Child-Only	SERFF	1-866-236-1702	1-866-236-1702	1-855-543-4921	https://public.hcsc.net/providerfinder/home.do?corpEntCd=NM1	http://www.bcbsnm.com/coverage/individual/on-exchange/dental/		X	X	X	X	X	X	X	33.07	24.85	24.85	24.85	24.85	24.85	24.85	49.7	49.7	49.7	49.7	49.7	82.77	82.77	82.77	82.77	115.84	115.84	115.84	115.84	148.91	148.91	148.91	148.91	57.92	57.92	57.92	57.92	90.99	90.99	90.99	90.99	124.06	124.06	124.06	124.06	75	$225	700	1400	10%	30% Coinsurance after deductible	50% Coinsurance after deductible	Not Covered	10%	30% Coinsurance after deductible	50% Coinsurance after deductible	0.5
NM	COLFAX	Low	Renaissance Dental	17911NM0060002	Delta Dental Individual PPO, EHB Certified (Exchange)	PPO	Rating Area 5	Allows Adult and Child-Only	SERFF	1-800-971-4108			http://www.deltadental.com/DentistSearch/DentistSearchController.ccl	http://www.deltadentalnm.com/NM_EHB_Plan_Brochure	http://www.deltadentalnm.com/NM_EHB_Low	X	X	X	X	X	X	X	23.96	23.96	17.05	17.05	18.38	22.88	27.6	47.92	34.1	36.76	45.76	55.2	71.88	58.06	60.72	69.72	95.84	82.02	84.68	93.68	119.8	105.97	108.63	117.63	47.92	41.01	42.34	46.84	71.88	64.97	66.3	70.8	95.84	88.92	90.25	94.75	50	See Plan Brochure	700	1400	10%	40% Coinsurance after deductible	50% Coinsurance after deductible	Not Covered	10%	40% Coinsurance after deductible	50% Coinsurance after deductible	0.5
NM	CURRY	High	BEST Life	26075NM0020001	BESTOne Child Dental Plus	PPO	Rating Area 5	Allows Child-Only	SERFF	1-949-253-4080	1-800-433-0088	1-949-222-2134	http://www2.dentemax.com/	http://www.bestlife.com/NM/pdf/NM_BESTOne_Child_Denta_Plus_Plan.pdf					X	X	X	X	24.34																																				50	See Plan Brochure	700	1400	Not Covered	Not Covered	Not Covered	Not Covered	No Charge	20% Coinsurance after deductible	50% Coinsurance after deductible	0.5
NM	CURRY	High	Blue Cross Blue Shield of New Mexico	75605NM0430003	BlueCare Dental 4 Kids 1A	PPO	Rating Area 5	Allows Child-Only	SERFF	1-866-236-1702	1-866-236-1702	1-855-543-4921	https://public.hcsc.net/providerfinder/home.do?corpEntCd=NM1	http://www.bcbsnm.com/coverage/individual/on-exchange/dental/					X	X	X	X	41.62																																				25	$75	700	1400	Not Covered	Not Covered	Not Covered	Not Covered	No Charge	20% Coinsurance after deductible	50% Coinsurance after deductible	0.5
NM	CURRY	High	Renaissance Dental	17911NM0090001	Delta Dental Individual Pediatric-Only PPO, EHB Certified (Exchange)	PPO	Rating Area 5	Allows Child-Only	SERFF	1-800-971-4108			http://www.deltadental.com/DentistSearch/DentistSearchController.ccl	http://www.deltadentalnm.com/NM_EHB_Plan_Brochure	http://www.deltadentalnm.com/NM_Ped_High				X	X	X	X	29.17																																				50	See Plan Brochure	700	1400	Not Covered	Not Covered	Not Covered	Not Covered	No Charge	10% Coinsurance after deductible	50% Coinsurance after deductible	0.5
NM	CURRY	Low	BEST Life	26075NM0020005	BESTOne Dental Plus - Silver	PPO	Rating Area 5	Allows Adult and Child-Only	SERFF	1-949-253-4080	1-800-433-0088	1-949-222-2134	http://www2.dentemax.com/	http://www.bestlife.com/NM/pdf/NM_BESTOne_Dental_Plus_Plan_(Silver).pdf		X	X	X	X	X	X	X	30.43	30.43	30.43	30.43	30.43	30.43	30.43	60.86	60.86	60.86	60.86	60.86	81.06	81.06	81.06	81.06	101.28	101.28	101.28	101.28	129.58	129.58	129.58	129.58	50.64	50.64	50.64	50.64	70.84	70.84	70.84	70.84	99.14	99.14	99.14	99.14	50	See Plan Brochure	700	1400	No Charge	30% Coinsurance after deductible	60% Coinsurance after deductible	Not Covered	No Charge after Deductible	40% Coinsurance after deductible	50% Coinsurance after deductible	0.5
NM	CURRY	Low	BEST Life	26075NM0020006	BESTOne Dental Basic - Silver	PPO	Rating Area 5	Allows Adult and Child-Only	SERFF	1-949-253-4080	1-800-433-0088	1-949-222-2134	http://www2.dentemax.com/	http://www.bestlife.com/NM/pdf/NM_BESTOne_Dental_Basic_Plan_(Silver).pdf		X	X	X	X	X	X	X	23.68	23.68	23.68	23.68	23.68	23.68	23.68	47.36	47.36	47.36	47.36	47.36	66.3	66.3	66.3	66.3	85.25	85.25	85.25	85.25	111.77	111.77	111.77	111.77	42.62	42.62	42.62	42.62	61.57	61.57	61.57	61.57	88.09	88.09	88.09	88.09	50	See Plan Brochure	700	1400	No Charge	50% Coinsurance after deductible	70% Coinsurance after deductible	Not Covered	No Charge after Deductible	40% Coinsurance after deductible	50% Coinsurance after deductible	0.5
NM	CURRY	Low	Blue Cross Blue Shield of New Mexico	75605NM0430002	BlueCare Dental 1B	PPO	Rating Area 5	Allows Adult and Child-Only	SERFF	1-866-236-1702	1-866-236-1702	1-855-543-4921	https://public.hcsc.net/providerfinder/home.do?corpEntCd=NM1	http://www.bcbsnm.com/coverage/individual/on-exchange/dental/		X	X	X	X	X	X	X	33.07	24.85	24.85	24.85	24.85	24.85	24.85	49.7	49.7	49.7	49.7	49.7	82.77	82.77	82.77	82.77	115.84	115.84	115.84	115.84	148.91	148.91	148.91	148.91	57.92	57.92	57.92	57.92	90.99	90.99	90.99	90.99	124.06	124.06	124.06	124.06	75	$225	700	1400	10%	30% Coinsurance after deductible	50% Coinsurance after deductible	Not Covered	10%	30% Coinsurance after deductible	50% Coinsurance after deductible	0.5
NM	CURRY	Low	Renaissance Dental	17911NM0060002	Delta Dental Individual PPO, EHB Certified (Exchange)	PPO	Rating Area 5	Allows Adult and Child-Only	SERFF	1-800-971-4108			http://www.deltadental.com/DentistSearch/DentistSearchController.ccl	http://www.deltadentalnm.com/NM_EHB_Plan_Brochure	http://www.deltadentalnm.com/NM_EHB_Low	X	X	X	X	X	X	X	23.96	23.96	17.05	17.05	18.38	22.88	27.6	47.92	34.1	36.76	45.76	55.2	71.88	58.06	60.72	69.72	95.84	82.02	84.68	93.68	119.8	105.97	108.63	117.63	47.92	41.01	42.34	46.84	71.88	64.97	66.3	70.8	95.84	88.92	90.25	94.75	50	See Plan Brochure	700	1400	10%	40% Coinsurance after deductible	50% Coinsurance after deductible	Not Covered	10%	40% Coinsurance after deductible	50% Coinsurance after deductible	0.5
NM	DE BACA	High	BEST Life	26075NM0020001	BESTOne Child Dental Plus	PPO	Rating Area 5	Allows Child-Only	SERFF	1-949-253-4080	1-800-433-0088	1-949-222-2134	http://www2.dentemax.com/	http://www.bestlife.com/NM/pdf/NM_BESTOne_Child_Denta_Plus_Plan.pdf					X	X	X	X	24.34																																				50	See Plan Brochure	700	1400	Not Covered	Not Covered	Not Covered	Not Covered	No Charge	20% Coinsurance after deductible	50% Coinsurance after deductible	0.5
NM	DE BACA	High	Blue Cross Blue Shield of New Mexico	75605NM0430003	BlueCare Dental 4 Kids 1A	PPO	Rating Area 5	Allows Child-Only	SERFF	1-866-236-1702	1-866-236-1702	1-855-543-4921	https://public.hcsc.net/providerfinder/home.do?corpEntCd=NM1	http://www.bcbsnm.com/coverage/individual/on-exchange/dental/					X	X	X	X	41.62																																				25	$75	700	1400	Not Covered	Not Covered	Not Covered	Not Covered	No Charge	20% Coinsurance after deductible	50% Coinsurance after deductible	0.5
NM	DE BACA	High	Renaissance Dental	17911NM0090001	Delta Dental Individual Pediatric-Only PPO, EHB Certified (Exchange)	PPO	Rating Area 5	Allows Child-Only	SERFF	1-800-971-4108			http://www.deltadental.com/DentistSearch/DentistSearchController.ccl	http://www.deltadentalnm.com/NM_EHB_Plan_Brochure	http://www.deltadentalnm.com/NM_Ped_High				X	X	X	X	29.17																																				50	See Plan Brochure	700	1400	Not Covered	Not Covered	Not Covered	Not Covered	No Charge	10% Coinsurance after deductible	50% Coinsurance after deductible	0.5
NM	DE BACA	Low	BEST Life	26075NM0020005	BESTOne Dental Plus - Silver	PPO	Rating Area 5	Allows Adult and Child-Only	SERFF	1-949-253-4080	1-800-433-0088	1-949-222-2134	http://www2.dentemax.com/	http://www.bestlife.com/NM/pdf/NM_BESTOne_Dental_Plus_Plan_(Silver).pdf		X	X	X	X	X	X	X	30.43	30.43	30.43	30.43	30.43	30.43	30.43	60.86	60.86	60.86	60.86	60.86	81.06	81.06	81.06	81.06	101.28	101.28	101.28	101.28	129.58	129.58	129.58	129.58	50.64	50.64	50.64	50.64	70.84	70.84	70.84	70.84	99.14	99.14	99.14	99.14	50	See Plan Brochure	700	1400	No Charge	30% Coinsurance after deductible	60% Coinsurance after deductible	Not Covered	No Charge after Deductible	40% Coinsurance after deductible	50% Coinsurance after deductible	0.5
NM	DE BACA	Low	BEST Life	26075NM0020006	BESTOne Dental Basic - Silver	PPO	Rating Area 5	Allows Adult and Child-Only	SERFF	1-949-253-4080	1-800-433-0088	1-949-222-2134	http://www2.dentemax.com/	http://www.bestlife.com/NM/pdf/NM_BESTOne_Dental_Basic_Plan_(Silver).pdf		X	X	X	X	X	X	X	23.68	23.68	23.68	23.68	23.68	23.68	23.68	47.36	47.36	47.36	47.36	47.36	66.3	66.3	66.3	66.3	85.25	85.25	85.25	85.25	111.77	111.77	111.77	111.77	42.62	42.62	42.62	42.62	61.57	61.57	61.57	61.57	88.09	88.09	88.09	88.09	50	See Plan Brochure	700	1400	No Charge	50% Coinsurance after deductible	70% Coinsurance after deductible	Not Covered	No Charge after Deductible	40% Coinsurance after deductible	50% Coinsurance after deductible	0.5
NM	DE BACA	Low	Blue Cross Blue Shield of New Mexico	75605NM0430002	BlueCare Dental 1B	PPO	Rating Area 5	Allows Adult and Child-Only	SERFF	1-866-236-1702	1-866-236-1702	1-855-543-4921	https://public.hcsc.net/providerfinder/home.do?corpEntCd=NM1	http://www.bcbsnm.com/coverage/individual/on-exchange/dental/		X	X	X	X	X	X	X	33.07	24.85	24.85	24.85	24.85	24.85	24.85	49.7	49.7	49.7	49.7	49.7	82.77	82.77	82.77	82.77	115.84	115.84	115.84	115.84	148.91	148.91	148.91	148.91	57.92	57.92	57.92	57.92	90.99	90.99	90.99	90.99	124.06	124.06	124.06	124.06	75	$225	700	1400	10%	30% Coinsurance after deductible	50% Coinsurance after deductible	Not Covered	10%	30% Coinsurance after deductible	50% Coinsurance after deductible	0.5
NM	DE BACA	Low	Renaissance Dental	17911NM0060002	Delta Dental Individual PPO, EHB Certified (Exchange)	PPO	Rating Area 5	Allows Adult and Child-Only	SERFF	1-800-971-4108			http://www.deltadental.com/DentistSearch/DentistSearchController.ccl	http://www.deltadentalnm.com/NM_EHB_Plan_Brochure	http://www.deltadentalnm.com/NM_EHB_Low	X	X	X	X	X	X	X	23.96	23.96	17.05	17.05	18.38	22.88	27.6	47.92	34.1	36.76	45.76	55.2	71.88	58.06	60.72	69.72	95.84	82.02	84.68	93.68	119.8	105.97	108.63	117.63	47.92	41.01	42.34	46.84	71.88	64.97	66.3	70.8	95.84	88.92	90.25	94.75	50	See Plan Brochure	700	1400	10%	40% Coinsurance after deductible	50% Coinsurance after deductible	Not Covered	10%	40% Coinsurance after deductible	50% Coinsurance after deductible	0.5
NM	DONA ANA	High	BEST Life	26075NM0020001	BESTOne Child Dental Plus	PPO	Rating Area 3	Allows Child-Only	SERFF	1-949-253-4080	1-800-433-0088	1-949-222-2134	http://www2.dentemax.com/	http://www.bestlife.com/NM/pdf/NM_BESTOne_Child_Denta_Plus_Plan.pdf					X	X	X	X	23.56																																				50	See Plan Brochure	700	1400	Not Covered	Not Covered	Not Covered	Not Covered	No Charge	20% Coinsurance after deductible	50% Coinsurance after deductible	0.5

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