BEST Life Essential Value Dental Plan

63790KS0020006
Low
PPO

BEST Life Essential Value Dental Plan is a Low PPO plan by BEST Life.

Locations

BEST Life Essential Value Dental Plan is offered in the following counties.

Plan Overview

This is a plan overview for 2025 version of BEST Life Essential Value Dental Plan 63790KS0020006.
Insurer: BEST Life
Network Type: PPO
Metal Type: Low
HSA Eligible?:
Plan ID: 63790KS0020006

Cost-Sharing Overview

BEST Life Essential Value Dental Plan offers the following cost-sharing.

Notes:

  • Some plans have separate cost-sharing for medical and drugs, while other plans offer combined cost-sharing. The cost-sharing amounts above are combined medical and drug costs unless otherwise noted.
  • You are viewing the standard version of this plan. Your costs may be lower depending on your income. Use the “get a quote” button below to see your estimated premium and out-of-pocket costs after assistance.
Ready to sign up for BEST Life Essential Value Dental Plan?

Click or call to enroll online, get a quote, or find out if you qualify for assistance.
Get Help from a licensed agent. 1-877-668-0904

Plan Features

BEST Life Essential Value Dental Plan offers the following features and referral requirements.

Wellness Program:
Disease Program:
Notice Pregnancy:
Referral Specialist:
Specialist Requiring Referral:
Plan Exclusions:
Child Only Option?: Allows Adult and Child-Only

Network Details

The following network details will help you understand what BEST Life Essential Value Dental Plan covers when you are out of the service area or out of the country.

Out of Country Coverage: No
Out of Country Coverage Description:
Out of Service Area Coverage: Yes
Out of Service Area Coverage Description: Network or UCR
National Network: Yes

Additional Benefits and Cost-Sharing

BEST Life Essential Value Dental Plan includes the following benefits at the cost sharing rates listed below.

Service In-Network
Copay / Coinsurance
Out-of-Network
Copay / Coinsurance
Limits and Explanation
Routine Dental Services (Adult)
Covered
Not Applicable No ChargeNot Applicable 30.00%
Dental Check-Up for Children
Covered
Not Applicable No Charge after deductibleNot Applicable 20.00% Coinsurance after deductible
Basic Dental Care – Child
Covered
Not Applicable 40.00% Coinsurance after deductibleNot Applicable 70.00% Coinsurance after deductible
Orthodontia – Child
Covered
Not Applicable 50.00%Not Applicable 70.00% Orthodontic services require prior authorization and are only covered for eligible children with cases of severe orthodontic abnormality caused by genetic deformity (such as cleft lip or cleft palate) or traumatic facial injury resulting in serious health impairment to the beneficiary at the present time.
Major Dental Care – Child
Covered
Not Applicable 50.00% Coinsurance after deductibleNot Applicable 70.00% Coinsurance after deductible
Basic Dental Care – Adult
Covered
Not Applicable 50.00% Coinsurance after deductibleNot Applicable 70.00% Coinsurance after deductible
Orthodontia – Adult
Not Covered
Major Dental Care – Adult
Covered
Not Applicable 70.00% Coinsurance after deductibleNot Applicable 80.00% Coinsurance after deductible
Accidental Dental
Covered
Not Applicable Not ApplicableNot Applicable Not Applicable

Free Preventive Services

There is no copayment or coinsurance for any of the following BEST Life Essential Value Dental Plan preventive services. This is true even if you haven’t met your yearly deductible.

Please note, these services are free only when delivered by a doctor or other provider in your plan’s network.

Ready to sign up for BEST Life Essential Value Dental Plan?

Click or call to enroll online, get a quote, or find out if you qualify for assistance.
Get Help from a licensed agent. 1-877-668-0904

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