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 Plan Name New for 2021 Plan Type Waiting Periods Referrals Required to See a Specialist Specialists Requiring Referrals Annual Benefit Maximum Out of Network Coverage? County Children Amount Premium Brochure Deductible Pediatric Individual - Children MOOP Pediatric Individual - Children Deductible Pediatric 2+ Children MOOP Pediatric 2+ Children Dental Check-Up - Children Basic Dental Care - Children Major Dental Care - Children Orthodontia - Children Deductible Pediatric Individual - Children MOOP Pediatric Individual - Children Deductible Pediatric 2+ Children MOOP Pediatric 2+ Children Dental Check-Up - Children Basic Dental Care - Children Major Dental Care - Children Orthodontia - Children 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
Delta Dental of New York, Inc Delta Dental PPO Pediatric Basic Plan ST OON Pediatric Dental Dep 19 N None N None None Y Albany
1
$
16.03
$
$65
$350
$195 per group
$350 per person / $700 per group
$0 after deductible
50% after deductible
50% after deductible
50% after deductible
$65
$350
$195 per group
$700 per group
$0 after deductible
50% after deductible
50% after deductible
50% after deductible
N
N/A
Y
National Network
Y
Delta Dental PPO
Dentcare Delivery Systems Inc ST, INN, DP, Pediatric Dental, Healthplex Network N None N None None N Albany
1
$
18.95
$
$0
$350
$0
$350 per person / $700 per group
$0
$48 copayment
$48 copayment
$48 copayment
N/A
N/A
N/A
N/A
Not covered
Not covered
Not covered
Not covered
N
N/A
N
N/A
N
HealthPlex Exchange
BlueShield of Northeastern New York Blue Pediatric Dental, ST, OON, Blue Marketplace, Pediatric Dental N None N None None Y Albany
1
$
31.34
$
$0
$350
$0
$350 per person / $700 per group
$20 copayment
50% coinsurance
50% coinsurance
50% coinsurance
$0
$700
$0
$700
$20 copayment
50% coinsurance
50% coinsurance
50% coinsurance
N
N/A
Y
Non-participating provider allowed amount
N
Blue Marketplace
Guardian Managed DentalGuard NY Child Essentials 2, ST, INN, Pediatric Dental N None Y Referrals are required to see any provider other than your primary care dentist None N Albany
1
$
17.85
$
$0
$350
$0
$350 per person / $700 per group
$0 - $50 copayments
$0 - $110 copayments
$0 - $675
$0 - $2800
N/A
N/A
N/A
N/A
Not covered
Not covered
Not covered
Not covered
N
N/A
N
N/A
N
Managed DentalGuard
Guardian Guardian Pediatric Essentials, ST, INN, OON, Pediatric Dental N None N None None Y Albany
1
$
20.79
$
$75
$350
$150 per group
$350 per person / $700 per group
$0 after deductible
50% after deductible
50% after deductible
50% after deductible
$150
N/A
$300 per group
N/A
$0 after deductible
50% after deductible
50% after deductible
50% after deductible
N
N/A
Y
National Network
Y
DentalGuard Preferred

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