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
In-Network
Deductible (Individual/Family)
$40/$120
Annual Plan Maximum
$2,000
Preventive Care
$0
Basic Services
80% after deductible
Major Procedures
50% after deductible
Orthodontia (Adults and Children)
$2,000
Out-of-Network
Deductible (Individual/Family)
$50/$150
Annual Plan Maximum
$1,800
Preventive Care
$0
Basic Services
80% after deductible
Major Procedures
50% after deductible
Orthodontia (Adults and Children)
$2,000
Monthly Plan Cost
Employee Only: $12
Employee + 1: $34
Employee and Family: $68
Delta Dental HMO
Benefit Highlights
In-Network Only
Deductible (Individual/Family)
None/None
Annual Plan Maximum
Unlimited
Preventive Care
$0
Basic Services
$0–$300 (See Copayment Fee Schedule)
Major Procedures
$0–$300 (See Copayment Fee Schedule)
Orthodontia (Adults and Children)
$1,500
Monthly Plan Cost
Employee Only: $0
Employee + 1: $6
Employee and Family: $12
