Dental Plan Comparison Tool

This tool is designed to help you compare dental plans that are offered through NY State of Health.

If you plan to enroll only your children in dental benefits, select the Pediatric Dental tab below.

If only adults or both adults and children need dental coverage, you can either shop for stand-alone family dental plans (select the Family Dental tab below) or you can see if there are Qualified Health Plans that include a family dental benefit in your county (select the QHP with Dental tab below).

Next, select the County in which you reside. Then, enter the number of children you wish to enroll in a Pediatric Dental plan OR who you wish to enroll in a Family Dental plan or in a QHP with family dental benefits. (Please note – only policies that indicate “Family Dental” would include dental benefits for adults).

Make sure to hover over the “Question Marks” for help.

Issuer Name HIOS ID Plan Name County Premium Brochure New for 2021 Plan Type Coverage Level Dep Age Standard or Non-Standard Plan Metal Level Referrals Required to See a Specialist Specialists Requiring Referrals Limits on Services Limit Description Benefits Excluded from In Network MOOP Benefits Excluded from Out of Network MOOP Annual Benefit Maximum Lifetime Benefit Maximum Waiting Periods Subject to the Deductible? Deductible - Individual MOOP - Individual Deductible - Family MOOP - Family Office Visit With No Additional Services - Adult Oral Evaluation - Adult Complete Set of X-Rays - Adult Cleanings - Adult Topical Fluoride - Adult Polishing - Adult Sealant (per tooth) - Adult Simple Extraction - Adult Fillings - Adult Single Restoration Crowns - Adult Pulp Cap - Adult Root Canal - Adult Scaling - Adult Planing - Adult Gingivectomy or Gingivoplasty - Adult Gum Surgery - Adult Tissue Grafting - Adult Routine Braces - Adult Partial Dentures - Adult Complete Dentures - Adult Dental Implants - Adults Bridges - Adults Veneers - Adult TMJ - Adult Dental Check-Up - Child Basic Dental Care - Child Orthodontia - Child Major Dental Care - Child Out of Country Coverage Out of Country Coverage Description Out of Service Area Coverage Out of Service Area Coverage Description National Network Network Name Network URL
EmblemHealth 88582NY0180001 EmblemHealth Basic, Catastrophic, ST, Select Care Network, INN, Pediatric Dental, Dep 25 Albany
$
531.71
N Individual Adult 25 Standard Catastrophic N None Y 1 exam every 6 months N Not applicable None None None Y $8,550 $8,550 $17,100 $17,100 Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered 0% coinsurance after deductible 0% coinsurance after deductible 0% coinsurance after deductible 0% coinsurance after deductible N Not applicable N Not applicable N Select Care Network

EmblemHealth 88582NY0200001 EmblemHealth Bronze, Bronze, ST3PCP, Select Care Network, INN, Pediatric Dental, Dep29 Albany
$
873.90
N Individual Adult 29 Standard Bronze N None Y 1 exam every 6 months N Not applicable None None None Y $4,700 $8,550 $9,400 $17,100 Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered 50% coinsurance after deductible 50% coinsurance after deductible 50% coinsurance after deductible 50% coinsurance after deductible N Not applicable N Not applicable N Select Care Network

EmblemHealth 88582NY3310001 EmblemHealth Value, Gold, NS, Select Care Network, INN, Dep 25, Family Dental and Vision, 3 Free PCP, No Deductible Generic Drugs, Specialist and Urgent Care, Free Telemedicine and Acupuncture, NSD Albany
$
1,054.13
N Individual Adult 25 Non-Standard Gold N None Y 1 exam every 6 months N Not applicable None None None N $3,300 $3,300 $6,600 $6,600 $0 copay $0 copay $45 copay $0 copay $0 copay $0 copay $0 copay $45 copay $45 copay $45 copay Not covered Not covered $0 copay Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered $0 copay $45 copay $65 copay $65 copay N Not applicable N Not applicable N Select Care Network

EmblemHealth 88582NY3320001 EmblemHealth Value, Gold, NS, Select Care Network, INN, Dep 29, Family Dental, Vision, 3 Free PCP, No Deductible Generic Drugs, Specialist and Urgent Care, Free Telemedicine and Acupuncture, NSD Albany
$
1,085.75
N Individual Adult 29 Non-Standard Gold N None Y 1 exam every 6 months N Not applicable None None None N $3,300 $3,300 $6,600 $6,600 $0 copay $0 copay $45 copay $0 copay $0 copay $0 copay $0 copay $45 copay $45 copay $45 copay Not covered Not covered $0 copay Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered $0 copay $45 copay $65 copay $65 copay N Not applicable N Not applicable N Select Care Network

EmblemHealth 88582NY1900001 EmblemHealth Value, Silver, NS, Select Care Network, INN, Family Dental, Dep25, Family Vision, Free PCP Visits, No Deductible Generic Drugs and Specialist Visits, Free Telemedicine, Acupuncture, NSD Albany
$
826.13
N Individual Adult 25 Non-Standard Silver N None Y 1 exam every 6 months N Not applicable None None None N $6,000 $6,000 $12,000 $12,000 $0 copay $0 copay $35 copay $0 copay $0 copay $0 copay $0 copay $35 copay $35 copay $35 copay Not covered Not covered $0 copay Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered Not covered $0 copay $35 copay $75 copay $75 copay N Not applicable N Not applicable N Select Care Network

Pages