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  

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