Important features that are common to all Health Connector dental plans:

For children under 19 years of age on any plan:

• The out-of-pocket maximum is $350 for one; $700 for two or more
• There is never an annual benefit maximum
• Medically necessary orthodontia is covered

For adults 19 years of age or older, on any plan:

• There is no out-of-pocket maximum
• There is an annual benefit maximum (which may vary)
• Orthodontia of any kind is not a covered benefit

While shopping, pay close attention to these features, which are different from plan to plan:

• Monthly premiums
• Co-insurance amounts (percentage of cost that the plan pays) differ for:
  • Preventive and diagnostic services, such as cleanings, x-rays, treatments and sealants;
  • Basic restorative services, such as fillings and extractions;
  • Major restorative services, such as crowns, bridges, dentures
• Deductibles and annual benefit maximums (for adults only)
• Some plans have smaller provider networks. See links below to the provider search tools available on each of the dental carriers’ websites to make sure that your dentist is covered by the plan your choose. Some plans do not pay for covered services if you see a dentist who is not in the plan’s network. These plans are labeled as having no out-of-network coverage in the PDFs with detailed information below.