Summary of Benefits Coverage: Child Dental
For detailed information about your plan’s coverage, please review the Summary of Benefits Coverage specific to your plan below.
2022 Summary of Benefits Coverage – Child Dental
- 2022 SBC Bronze 60 HDHP HMO 7000_0 + Child Dental
- 2022 SBC Bronze 60 HMO 6300_65+Child Dental
- 2022 SBC Gold 80 HMO 250_35+Child Dental
- 2022 SBC Gold 80 HMO 500_35+Child Dental
- 2022 SBC Gold 80 HMO 750_30+Child Dental
- 2022 SBC Gold 80 HMO 1000_35+Child Dental
- 2022 SBC Gold 80 HMO HRA 2150_35+Child Dental
- 2022 SBC Platinum 90 HMO 0_10_250 Child Dental
- 2022 SBC Platinum 90 HMO 0_10_500 Child Dental
- 2022 SBC Platinum 90 HMO 0_20 Child Dental
- 2022 SBC Platinum 90 HMO 0_25 Child Dental
- 2022 SBC Silver 70 HDHP HMO 2500_20+Child Dental
- 2022 SBC Silver 70 HMO 2250_50+Child Dental
- 2022 SBC Silver 70 HMO HRA 2250_50+Child Dental
2023 Summary of Benefits Coverage – Child Dental
- 2023 SBC Bronze 60 HDHP HMO 7000_0+Child Dental
- 2023 SBC Bronze 60 HMO 6300_65+Child Dental
- 2023 SBC Gold 80 HMO 250_35+Child Dental
- 2023 SBC Gold 80 HMO 500_35+Child Dental
- 2023 SBC Gold 80 HMO 750_30+Child Dental
- 2023 SBC Gold 80 HMO 1000_35+Child Dental
- 2023 SBC Gold 80 HMO HRA 2150_35+Child Dental
- 2023 SBC Platinum 90 HMO 0_10_250 Child Dental
- 2023 SBC Platinum 90 HMO 0_10_500 Child Dental
- 2023 SBC Platinum 90 HMO 0_20 Child Dental
- 2023 SBC Platinum 90 HMO 0_25 Child Dental
- 2023 SBC Silver 70 HDHP HMO 2700_25+Child Dental
- 2023 SBC Silver 70 HMO 2250_50+Child Dental
- 2023 SBC Silver 70 HMO HRA 2250_50+Child Dental