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Pediatric Dental FAQ
Frequently Asked Questions
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When does coverage end for individuals enrolled in pediatric dental coverage?
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What is the timeline and method for how issuers will be made aware if a stand-alone dental plan will be offered on the Marketplace?
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Does every medical plan have to have embedded pediatric dental benefits?
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Can issuers use the following approach to ensure that a consumer has pediatric dental coverage?
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If pediatric oral benefits are offered through a stand-alone dental issuer, does the cost sharing on the dental plan accumulate to the out of pocket maximum on cost-sharing associated with the QHP?
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Can dental carriers offer a "greater of" or "better of" benefit if during claim adjudication a claim could be covered under more than one benefit? Will this process affect the AV of the stand-alone, pediatric dental plan?