Moda Health. Healthcare from your head to your toes. Delta Dental | Moda Health

Maximizer (PPO) Rates

Maximizer - $1,000 deductible
Age Insured
only
Insured &
spouse
Insured & spouse & child(ren) Insured & child(ren)

Monthly rates effective November 1, 2012 through December 31, 2013
Monthly family rates are based on the age of primary applicant

0 - 19 $136 $271 $378 $234
20 - 24 $193 $383 $539 $335
25 - 29 $210 $444 $631 $394
30 - 34 $244 $519 $722 $452
35 - 39 $266 $563 $752 $487
40 - 44 $329 $654 $880 $551
45 - 49 $390 $774 $958 $567
50 - 54 $463 $917 $1,106 $638
55 - 59 $547 $1,086 $1,275 $717
60 - 64 $639 $1,274 $1,369 $770
Maximizer - $2,500 deductible
Age Insured
only
Insured &
spouse
Insured & spouse & child(ren) Insured & child(ren)

Monthly rates effective November 1, 2012 through December 31, 2013
Monthly family rates are based on the age of primary applicant

0 - 19 $110 $217 $303 $187
20 - 24 $155 $308 $432 $270
25 - 29 $168 $357 $508 $316
30 - 34 $197 $417 $580 $364
35 - 39 $213 $453 $605 $390
40 - 44 $265 $527 $707 $442
45 - 49 $313 $623 $770 $454
50 - 54 $372 $738 $888 $513
55 - 59 $440 $873 $1,025 $576
60 - 64 $513 $1,025 $1,101 $620
Maximizer - $5,000 deductible
Age Insured
only
Insured &
spouse
Insured & spouse & child(ren) Insured & child(ren)

Monthly rates effective November 1, 2012 through December 31, 2013
Monthly family rates are based on the age of primary applicant

0 - 19 $85 $169 $236 $147
20 - 24 $122 $240 $337 $210
25 - 29 $131 $279 $396 $247
30 - 34 $152 $326 $453 $285
35 - 39 $167 $354 $471 $304
40 - 44 $208 $410 $553 $345
45 - 49 $245 $487 $601 $356
50 - 54 $290 $576 $693 $401
55 - 59 $344 $683 $800 $449
60 - 64 $401 $800 $860 $483

 

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Hello.

We have exciting news to share. ODS is changing its name to Moda Health.

Moda comes from the latin term "modus" and means "a way". We picked it because that's what we are here to do: help our communities find a way to better health.

Together, we can be more, be better.

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