Oklahoma Preferred Plan (Pediatric Only)

13711OK0060002
Low
PPO

Oklahoma Preferred Plan (Pediatric Only) is a Low PPO plan by Renaissance Dental.

Locations

Oklahoma Preferred Plan (Pediatric Only) is offered in the following counties.

Plan Overview

This is a plan overview for 2025 version of Oklahoma Preferred Plan (Pediatric Only) 13711OK0060002.
Insurer: Renaissance Dental
Network Type: PPO
Metal Type: Low
HSA Eligible?:
Plan ID: 13711OK0060002

Cost-Sharing Overview

Oklahoma Preferred Plan (Pediatric Only) 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 Oklahoma Preferred Plan (Pediatric Only)?

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

Oklahoma Preferred Plan (Pediatric Only) offers the following features and referral requirements.

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

Network Details

The following network details will help you understand what Oklahoma Preferred Plan (Pediatric Only) covers when you are out of the service area or out of the country.

Out of Country Coverage: Yes
Out of Country Coverage Description: Benefits paid at the Out of Network Level
Out of Service Area Coverage: Yes
Out of Service Area Coverage Description: Same Benefit Level
National Network: Yes

Additional Benefits and Cost-Sharing

Oklahoma Preferred Plan (Pediatric Only) 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)
Dental Check-Up for Children
Covered
Not Applicable 20.00%Not Applicable 30.00%2.0 Visit(s) per Benefit Period See Plan Brochure. X-Rays may be subject to deductible.
Basic Dental Care – Child
Covered
Not Applicable 40% Coinsurance after deductibleNot Applicable 50% Coinsurance after deductible See Plan Brochure.
Orthodontia – Child
Covered
Not Applicable 50.00%Not Applicable 50.00% Limited to medically necessary. See Plan Brochure.
Major Dental Care – Child
Covered
Not Applicable 50% Coinsurance after deductibleNot Applicable 50% Coinsurance after deductible See Plan Brochure.
Basic Dental Care – Adult
Orthodontia – Adult
Major Dental Care – Adult
Accidental Dental

Free Preventive Services

There is no copayment or coinsurance for any of the following Oklahoma Preferred Plan (Pediatric Only) 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 Oklahoma Preferred Plan (Pediatric Only)?

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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