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EmblemHealth Dental Plans

EmblemHealth offers a choice of three programs* featuring different benefit designs, network size and member and group cost-sharing responsibilities. For existing members, descriptions of our HIP plans are also available below.

* EmblemHealth dental programs are underwritten by Group Health Incorporated (GHI).

	Preferred Plus	Preferred	Dental Access
Benefits	Traditional benefits with cost sharing and a larger network Roll-over feature for unused annual benefits maximum No approvals or referrals required	Paid-in-full, in-network coverage for all covered services Roll-over feature for unused annual benefits maximum No approvals or referrals required	Paid-in-full, in-network coverage for preventive and diagnostic care 100% coverage for crown, bridge and denture repair
Network	8,100 dentists and specialists in NY and NJ Nationwide coverage available	6,300 dentists and specialists in NY and NJ	5,500 dentists and specialists in NY and NJ
Cost sharing	Out-of-network benefits for covered services	Out-of-network benefits for covered services.	In-network discounts for more costly services Out-of-network benefits for covered services

HIP and CompreHealth Dental Plans

HIP offers two dental programs a HIP Preventive Dental plan and a program for HIP Medicaid/ Family Health Plus/Child Health Plus/ Dental benefits for members. HIP dental plans offer access to quality care near where you live and work.

	HIP and CompreHealth Preventive Dental Services	HIP Medicaid/Family Health Plus/ Child Health Plus Dental Benefits
Benefits	Access to a network of providers that charge discounted fees. No claims are involved. The member pays the provider at the time of service.	Available to only Medicaid, Family Health Plus and Child Health Plus Members.
Network	Careington International Participating Dentists	Healthplex Participating Dentists
Cost sharing	Out-of-network benefits for covered services	Family Health Plus has some copays. Medicaid and Child Health Plus have no cost sharing.

	Plan Options
	SMALL BUSINESS
	MEDIUM & LARGE BUSINESS
	SOLE PROPRIETORS
	INDIVIDUALS
	CITY, STATE AND FEDERAL MEMBERS
	MEDICARE
	MEDICARE SUPPLEMENT INSURANCE
	STATE SPONSORED PROGRAMS - Medicaid - Family Health Plus - Child Health Plus