How do I find a dentist?What services are covered?Can my kids get braces?
Network Options: Advantage Plus Network or Premier Network
EMI Health makes using your benefits a snap. Create an account and they will give you simplified access and tools to manage your dental plan. They offer easy online tours on how to find choose a dentist, log in to the web portal, download our app or request a pre-determination of benefits.
Out-of-network coverage
A dentist who is “out-of-network” means the provider hasn’t agreed to negotiated rates. The plan pays benefits based on the reasonable & customary charge for a particular service. If the out-of-network provider charges more, you’ll be responsible for paying the amount that exceeds the reasonable & customary charge plus the applicable coinsurance and deductible.
(800) 662-5851 | emihealth.com | Group #2077
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Dental Plan |
Jan 1 - Dec 31
$50 per individual / $150 per family
Jan 1 - Dec 31
$2,000 per individual
$1,000 per individual
$1,000 per individual
Cleanings, exams, fluoride, and x-rays
100% of covered services AD
100% of covered services AD
Endodontics, sealants, oral surgery, fillings, space maintainers, and impacted teeth
20% AD
20% AD
20% of R&C, AD
Bridges, crowns, dentures, periodontics and general anesthesia
50% AD
50% AD
50% of R&C, AD
R&C: Reasonable & Customary
* Providers may charge more than the plan allows when you receive services out-of-network. It is recommended that you ask the out-of-network provider about their billed charges before planning care.
** Deductible applies to Preventative, Basic & Major Services.
This information is designed to help you choose a benefit plan for 2023 only. Please refer to the Plan Documents provided by the carrier for information regarding coverage, limitations and exclusions. If there is a difference between this guide and the Plan Documents, the Plan Documents prevail.
