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. Next, select whether you wish to compare In Network or Out of Network Cost Sharing (or both). Finally, click on the plan brochure to see what categories of services (Preventive, Routine, Basic, Major, Orthodontia), are covered and the cost-sharing amounts for those services, and to get more detailed information about the specific plan you are considering. You should always confirm benefits and covered services with your insurer before enrolling in a plan or receiving dental care services.

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

Issuer Name Plan Name 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
Delta Dental of New York, Inc Delta Dental PPO Pediatric Basic Plan ST OON Pediatric Dental Dep 19 None Y Albany
1
$
16.03
$
$65
$350
$195 per group
$700
0% coinsurance after deductible
50% coinsurance after deductible
50% coinsurance after deductible
50% coinsurance after deductible
$65
$350
$195 per group
$700
0% coinsurance after deductible
50% coinsurance after deductible
50% coinsurance after deductible
50% coinsurance after deductible
Dentcare Delivery Systems Inc Pediatric Dental, ST,INN,DP None N Albany
1
$
18.95
$
$0
$350
$0
$700
$48
$48
$48
$48
100%
100%
100%
100%
100%
100%
100%
100%
BlueShield of Northeastern New York Blue Pediatric Dental, ST, OON, Pediatric Dental None Y Albany
1
$
31.94
$
$0
$350
$0
$700
$20 copayment
50% coinsurance
50% coinsurance
50% coinsurance
$0
$350
$0
$700
$20 copayment
50% coinsurance
50% coinsurance
50% coinsurance
Guardian Managed DentalGuard NY Child Essentials 2, ST, INN, Pediatric Dental None N Albany
1
$
17.85
$
$0
$350
$0
$700
$0
$0-$110 copayments
$0-$350 copayment
$0-$350 copayment
100%
100%
100%
100%
100%
100%
100%
100%
Guardian Guardian Pediatric Essentials, ST, INN, OON, Pediatric Dental None Y Albany
1
$
20.79
$
$75
$350
$150 per group
$700
No charge after deductible
50% coinsurance after deductible
50% coinsurance after deductible
50% coinsurance after deductible
$150
None
$300
None
No charge after deductible
50% coinsurance after deductible
50% coinsurance after deductible
50% coinsurance after deductible
Empire Blue Cross (Dental Upstate) Empire Dental Pediatric, ST, OON, Pediatric Dental None Y Albany
1
$
24.85
$
$25
$350
$25 per person
$700
25% coinsurance after deductible
25% coinsurance after deductible
50% coinsurance after deductible
50% coinsurance after deductible
$25
None
$25 per person
None
25% coinsurance after deductible
25% coinsurance after deductible
50% coinsurance after deductible
50% coinsurance after deductible
Solstice Health Insurance Company EssentialSmile 111 ST INN Pediatric None N Albany
1
$
14.20
$
$50
$350
$50 per member
$700
$0 - $125 copayments after deductible
$0-$350 copayments after deductible
$0-$350 copayments after deductible
$350 copay after deductible
100%
100%
100%
100%
100%
100%
100%
100%
Healthplex Insurance Company, Inc Pediatric Dental, ST,INN,DP None N Albany
1
$
18.95
$
$75 for non-preventive services
$350
$0
$700
$48
$48
$48
$48
100%
100%
100%
100%
100%
100%
100%
100%