Dental
Dental coverage helps you maintain a healthy smile with preventive care, basic services, and major procedures. You can visit any licensed dentist, but you’ll save the most when you use an in-network provider who has agreed to discounted rates. Out-of-network dentists may charge more than the plan’s allowed amount, and you may be responsible for the difference. Most plans cover preventive services—such as exams, cleanings, and X-rays—at 100% when you stay in-network, making regular checkups an easy way to protect your oral health and avoid costly issues.
Delta Dental PPO
Benefit Highlights
PPO Network
Deductible (Individual/Family)
$50/$150
Annual Plan Max (Individual/Family)
$1,250
Preventive Care
$0
Basic Services
20%
Major Procedures
50%
Orthodontia (Adults and Children)
50% up to a lifetime maximum benefit of $1,000 per individual; deductible waived
Premier Network
Deductible (Individual/Family)
$50/$150
Annual Plan Max (Individual/Family)
$1,250
Preventive Care
$0
Basic Services
20%
Major Procedures
50%
Orthodontia (Adults and Children)
50% up to a lifetime maximum benefit of $1,000 per individual; deductible waived
Per Pay Period Plan Cost
Employee Only: $13.65
Employee and Spouse: $26.32
Employee and Child(ren): $34.49
Employee and Family: $52.71