Overview
- Plan issuer
- Dominion National
- Child-only offering
- Allows Child-Only
- Plan type
-
EPO
The Select Plan Premium Kids plan is an Exclusive Provider Organization (EPO) plan. Your care is limited to dentists and specialists within the plan's network, except in emergencies. Out-of-network care is usually not covered.
- Metal level
-
High
High coverage plans have higer premiums but lower copays and deductibles. This plan is a good value for those who plan to use more dental services. You pay more eac month, but less wen you use dental services.
Contact
- Customer service number
- 1-855-224-3016
- Toll-free customer service number
- 1-855-224-3016
Coverage
Adult
- Routine dental services
- No
- Basic dental care
- No
- Major dental care
- No
- Orthodontics
- No
Child
- Routine dental check up
- Yes
- Basic dental care
- Yes
- Major dental care
- Yes
- Orthodontics
- Yes
Deductible
- Deductible
- Not Applicable
- Maximum out of pocket
- $350
- Deductible
- Not Applicable
- Maximum out of pocket
- $700
- Deductible
- Not Applicable
- Maximum out of pocket
- $350
Copay and Coinsurance
- Routine dental services
- Not Covered
- Basic dental care
- Not Covered
- Major dental care
- Not Covered
- Ortodontics
- Not Covered
- Routine dental services
- No Charge
- Basic dental care
- 35%
- Major dental care
- 42%
- Ortodontics
- $350
Premium payment
The premium is the amount you pay for health insurance each month. This does not include other healthcare costs such as your deductible, copayments, and coinsurance.
Your premium depends on who is covered by the insurance and their ages. Generally, premiums increase if there are more people covered or if people covered are older.
Premium rates
| Coverage | Monthly premium | Annual premium |
|---|---|---|
| Child (age 0-14) | $21.95 | $263.40 |
| Child (age 18) | $21.95 | $263.40 |
Source
Our data is directly sourced from Healthcare.gov, the U.S. federal government's Health Insurance Marketplace®, created under the Affordable Care Act.
- Healthcare.gov, last accessed April 1, 2021
- "Dental coverage in the Marketplace," Healthcare.gov
- "Glossary," Healthcare.gov