DR. KELLY PATER HEARN DDS
Accepted Insurance Health Plans for NPI 1811156748
Dentist - General Practice in Benton Harbor, MI
NPI Status: Active since June 05, 2008
Contact Information
1220 E NAPIER AVE
BENTON HARBOR, MI
ZIP 49022
Phone: (269) 925-2113
Fax: (269) 925-2191
Accepted Health Plans and Insurance Coverage
Browse the list of insurance companies that may be accepted by DR. KELLY PATER HEARN DDS. Use the filter tool below to quickly find details about your health plan, including the plan name, market, network tier or type, and ID. If you're looking for a specific plan, type its name into the search box.
Delta Dental of Michigan (5 plans)
Delta Dental Individual Pediatric-Only PPO, EHB Certified
Type: PPO
Market: Individual
Network Tier: DELTA-DENTAL-PPO-AND-DELTA-DENTAL-PREMIER
Plan ID: 34930MI0170001
Dental Only? Yes
Delta Dental Individual Pediatric-Only PPO, EHB Certified
Type: PPO
Market: Individual
Network Tier: DELTA-DENTAL-PPO-AND-DELTA-DENTAL-PREMIER
Plan ID: 34930MI0170002
Dental Only? Yes
Delta Dental Individual PPO Bronze Plan, EHB Certified
Type: PPO
Market: Individual
Network Tier: DELTA-DENTAL-PPO-AND-DELTA-DENTAL-PREMIER
Plan ID: 34930MI0150002
Dental Only? Yes
Delta Dental Individual PPO Gold Plan, EHB Certified
Type: PPO
Market: Individual
Network Tier: DELTA-DENTAL-PPO-AND-DELTA-DENTAL-PREMIER
Plan ID: 34930MI0150001
Dental Only? Yes
Delta Dental Individual PPO Silver Plan, EHB Certified
Type: PPO
Market: Individual
Network Tier: DELTA-DENTAL-PPO-AND-DELTA-DENTAL-PREMIER
Plan ID: 34930MI0150003
Dental Only? Yes
Guardian (9 plans)
Guardian Essentials for Families and Individuals
Type: PPO
Market: Individual
Network Tier: CS--AETNA
Plan ID: 66587MI0070006
Dental Only? Yes
Guardian Essentials for Families and Individuals
Type: PPO
Market: Individual
Network Tier: CX--CONNECTION-DENTAL--PPO-USA
Plan ID: 66587MI0070006
Dental Only? Yes
Guardian Essentials for Families and Individuals
Type: PPO
Market: Individual
Network Tier: DD--DENTALGUARD-ELITE
Plan ID: 66587MI0070006
Dental Only? Yes
Guardian Preventive Plus for Families and Individuals
Type: PPO
Market: Individual
Network Tier: CS--AETNA
Plan ID: 66587MI0090004
Dental Only? Yes
Guardian Preventive Plus for Families and Individuals
Type: PPO
Market: Individual
Network Tier: CX--CONNECTION-DENTAL--PPO-USA
Plan ID: 66587MI0090004
Dental Only? Yes
Guardian Preventive Plus for Families and Individuals
Type: PPO
Market: Individual
Network Tier: DD--DENTALGUARD-ELITE
Plan ID: 66587MI0090004
Dental Only? Yes
Guardian Select for Families and Individuals
Type: PPO
Market: Individual
Network Tier: CS--AETNA
Plan ID: 66587MI0080005
Dental Only? Yes
Guardian Select for Families and Individuals
Type: PPO
Market: Individual
Network Tier: CX--CONNECTION-DENTAL--PPO-USA
Plan ID: 66587MI0080005
Dental Only? Yes
Guardian Select for Families and Individuals
Type: PPO
Market: Individual
Network Tier: DD--DENTALGUARD-ELITE
Plan ID: 66587MI0080005
Dental Only? Yes
Frequently Asked Questions
- EPO
- See in-network doctors without a referral. No coverage for routine out-of-network care except emergencies.
- HMO
- Requires referrals and a primary doctor. Usually lower premiums but no out-of-network coverage.
- POS
- Acts like HMO in-network but allows out-of-network visits at a higher cost.
- PPO
- No referrals needed. Partial out-of-network coverage with more flexibility in choosing doctors.
- Indemnity
- Reimburses “reasonable and customary” fees for licensed providers. Rare and often costly.
- Individual & Family
- Marketplace plans for consumers. Ideal for the self-employed or those between jobs.
- SHOP
- Small group coverage for businesses with up to 50 full-time employees.
- Tier-One
- Lowest-cost, highest-value in-network providers.
- Preferred
- Good in-network options with slightly higher copays than Tier-One.
- Non-Preferred
- More expensive tier within the network. Cheaper than going out-of-network.
