PlanMyDental

ConnectiCare Passage Plan 1 (HMO-POS)

ConnectiCare01
Contract H3528 · Plan 010 · CMS Plan Year 2025
3.5★CMS Stars
Annual Maximum Benefit
per calendar year
$2,000

Preventive Care

Oral Exams
Cleanings
X-Rays
Fluoride / Preventive

Basic & Restorative

Fillings
Extractions
Root CanalsYou pay 50%
PeriodonticsYou pay 50%

Major Services

CrownsYou pay 50%
Dentures
Orthodontia

Dental Implants

✓ Implants Covered

Covered — verify cost-sharing with carrier.

Coverage varies — verify implant benefits directly with the carrier before enrolling.

Available In

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Data source: CMS Plan Benefit Package 2025 · Verify on Medicare.gov →