Choice PPO Basic
Dominion National · 2026 plan year
Low
- Ind. deductible
- —
- Family deductible
- Not listed
- Ind. OOP max
- $450
- Family OOP max
- $900
Other cost-sharing reduction variants for this plan:
More Dominion National plans in IN
Monthly premiums by age
The same in all 17 areas this plan covers.
| Age | Individual |
|---|---|
| Under 15 | $28 |
| 21 | $17 |
| 30 | $19 |
| 40 | $19 |
| 50 | $22 |
| 60 | $22 |
| 64 and over | $22 |
Live premium estimate
Benefits & cost sharing
Other
| Benefit | In-network |
|---|---|
| Accidental Dental | Not covered |
| Basic Dental Care - Adult | 50.00% Coinsurance after deductible |
| Basic Dental Care - Child | 65.00% Coinsurance after deductible |
| Dental Check-Up for Children | No charge |
| Major Dental Care - Adult | 85.00% Coinsurance after deductible |
| Major Dental Care - Child | 75.00% Coinsurance after deductible |
| Orthodontia - Adult | Not covered |
| Orthodontia - Child | 50.00% Coinsurance after deductible |
| Routine Dental Services (Adult) | No Charge after deductible |
Plan rules
Service area
This plan covers 1 geographic area.
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