Dental Benefits
Plan Overview
The dental plan is designed to keep you smiling year after year. Dental health can have an impact on you as a whole and can also be the first sign of a more serious health issue. Take advantage of our comprehensive plan and keep up with your preventive dental care.
With this plan you can choose any dentist, generally you will save money if you stay in Delta Dental’s network. Visit a dentist in the PPO network to maximize your savings. These dentists have agreed to reduced fees, and you won’t get charged more than your expected share of the bill. If you can’t find a PPO Dentist, consider a Delta Dental Premier Dentist. These dentists have agreed to set fees and offer another opportunity to save. To find a network dentist, visit deltadentalins.com/find-a-dentist and select the PPO or Premier network, or call (888) 335-8227.
Delta Dental PPO Plan
| Plan Benefits | In-Network PPO Dentist |
In-Network Premier Dentist |
Out-of-Network |
|---|---|---|---|
| Annual Maximum | $1,500 per member (Diagnostic and Preventive services not included) |
||
| Orthodontia Lifetime Max | $1,500 per member (Adult & Child) | ||
| Deductible | – | ||
| Waived for Preventive | Yes | Yes | Yes |
| Individual | $50 | $75 | $75 |
| Family Limit | $150 | $225 | $225 |
| Coinsurance | – | ||
| Basic | 90% | 75% | 75% |
| Major | 60% | 50% | 50% |
Contact Delta Dental
Delta Dental
PPO Dental Plan
Group Number: 21434
Member Services
(888) 335-8227
deltadentalins.com
Expanded Benefits
Our plan leaves your preventive cleaning costs out of the annual maximum benefit limit, allowing you to get more out of your plan each year.
In addition to the two basic cleanings covered annually, our dental plan covers one additional basic cleaning when medically necessary. Members diagnosed with periodontal disease will also have coverage for periodontal deep cleanings.
Resources
Pre-treatment Estimate Summary
Orthodontics Flyer
To view a more detailed description of the plan, visit the Plan Documents & Notices.
