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Review your options with a local

Utah health insurance agent

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SelectHealth Prime 1000 Dental Plan

Introducing the SelectHealth Prime 1000 Dental Plan, your gateway to comprehensive dental care! With a low $50 deductible per person, this plan makes quality dental services affordable for you and your family. Cleanings are covered at a whopping 100% after meeting the deductible, ensuring your oral health is always a top priority. Plus, you'll enjoy the peace of mind knowing that minor work is covered at 80% after the deductible, and major procedures are covered at 50%. But wait, there's more! There's a generous $1000 maximum benefit per person every year, giving you ample coverage for your dental needs. And remember, your benefits reset 12 months from your enrollment date, ensuring consistent and reliable coverage.

Carrier

SelectHealth

The company that provides and manages your insurance coverage. You pay your insurance premiums, which are regular payments to maintain your coverage, directly to the carrier.

Plan Year

2024

A dental plan year typically spans one year from when you enrolled in the plan. At the start of each new year, plans reset, and any deductibles, out-of-pocket maximums, and benefits calculations begin anew.

Individual and Family Deductible

Dental insurance plans offer individual and family deductibles to accommodate varying needs. Individual deductibles require a specific out-of-pocket payment before insurance coverage applies to dental procedures, while family deductibles consolidate these costs for the entire family's dental expenses.

These plans typically categorize dental work into minor and major procedures. Minor work covers routine treatments like fillings and simple extractions, with insurance sharing the cost. In contrast, major work, which includes procedures such as root canals or crowns, often requires a larger patient contribution. It's important to note that the deductible normally doesn't apply to preventative care, such as check-ups and cleanings, which are often covered at no cost, emphasizing their role in maintaining oral health without additional financial burden.

Individual Deductible

$50

A deductible is the amount you pay out of your own pocket before your insurance coverage starts. It's a way to share costs between you and the insurance company.

Family Deductible

$150

Family deductible is the amount the entire family, or everyone enrolled on the plan, must meet before insurance pays a portion of your covered services.

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Preventative Care

With the SelectHealth Prime 1000 Dental Plan, preventive care is a breeze. Your cleanings are fully covered at 100% after the deductible, so you can maintain your sparkling smile without breaking the bank.

Minor Dental Services

When it comes to minor dental procedures, you're in good hands. This plan covers minor work at 80% after the deductible, helping you address issues like fillings and extractions without straining your budget.

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Major Dental Services

For more complex dental treatments, our plan has you covered. Major work is included at 50% coverage after the deductible, ensuring that procedures like root canals and crowns are more affordable when you need them most.

Orthodontia for Children

Please note that orthodontic treatments, such as braces or aligners, are not covered under the SelectHealth Prime 1000 Dental Plan. If you or a family member require orthodontic care to correct teeth alignment or related issues, you'll need to make separate arrangements for coverage or payment, as these services are not included in the plan's benefits. It's advisable to consult with an orthodontist and explore specialized orthodontic insurance options if needed to meet your specific dental needs.

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Implant Coverage

The SelectHealth Prime 1000 Dental Plan does not provide coverage for dental implants. If you're considering dental implant surgery to replace missing teeth or for other oral health reasons, it's essential to plan for potential out-of-pocket expenses, as this plan does not include coverage for implant procedures. We recommend discussing your implant needs with your dental provider and exploring additional options or supplemental coverage if necessary.

Maximum Yearly Dental Benefit

Enjoy peace of mind with a maximum benefit of $1000 per person every year. This generous allowance lets you access essential dental services without worrying about exceeding your budget. Just remember, benefits reset 12 months from your plan enrollment date, ensuring continuous coverage for your dental needs.

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Full Summary of Benefits and Helpful Links

 Official documents, such as your insurance policy or Summary of Benefits and Coverage (SBC), outline the details of your coverage, including deductibles, copayments, and covered services. Provider links, often available through your insurance company's website, offer directories of in-network healthcare professionals and facilities, helping you find the right doctors and hospitals that are covered by your plan. Utilizing these resources can empower you to make informed healthcare decisions and effectively navigate your insurance coverage.

Helpful Links

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Schedule a consultation with a local Utah health insurance agent

We're happy to meet with your in-person or over the phone to help you with your health insurance needs. We can help you with health insurance on or off the marketplace, Medicare Advantage & supplements, dental insurance, vision insurance, life insurance or accident plans. Thank you for letting us be your advocate. Best part, is our help is always free! 

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Book a phone, virtual or office appointment. How do you want to book?

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Book a phone, virtual or office appointment. How do you want to book?

we are here to help

Schedule now

This is a quick snapshot of the most popular copays, deductibles, and coinsurance that you would be responsible for on this dental plan. Preventative services include dental cleanings, exams and x-rays. Most plans cover your preventative care every 6 months with no waiting period. Basic dental work includes minor services like filling a cavity and may have a waiting period before these services will be covered on your plan. Major work includes services like crowns and root canals and may have a waiting period before these services are covered. Dentures and implants are normally NOT included in dental insurance. If you need coverage for these services, please let your local agent know so that you have a plan that includes those services.

To learn what each of the terms mean, please visit our terms and definitions page. Copays and coinsurance listed are amounts that you would pay after deductible unless specified otherwise. This is not a full list of services included on the plan. This snapshot is not guaranteed to be accurate. To verify plan benefits or for full details please see the full summary of benefits or or get a complete terms of coverage on the health plan carrier's website.  

***Out of Network Limitations and Balance Billing

Some dental plans offer out of network coverage. This is a great benefit because you can visit any dentist in the nation. Which means that if you are traveling, or have a dental emergency, you can visit a dentist for the service you need right away and have a portion of your bill covered by your dental insurance. Please note that if you see an out of network provider, that dentist is allowed to "balance bill" you. This means that your dental insurance company pays your dentist what is reasonable and customary for the services you received. In most situations that dentist accepts that payment and you are only responsible for your portion of the bill. Occasionally, that dentist will decide that the reasonable and customary amount they received from the dental insurance is not enough. That dentist will bill you for the additional charge or 'balance bill' you. You are responsible to pay this amount or contact the dentist to work out a payment plan. 

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