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 Low Plan
Benefit Highlights
In-Network
Deductible (Individual/Family)
$50/$150
Annual Plan Max (Individual/Family)
$1,000 per person
Preventive Care
$0
Basic Services
40%
Major Procedures
40%
Orthodontia (Adults and Children)
Not covered
Premier and Out-of-Network
Deductible (Individual/Family)
$50/$150
Annual Plan Max (Individual/Family)
$1,000 per person
Preventive Care
$0
Basic Services
40%
Major Procedures
40%
Orthodontia (Adults and Children)
Not covered
Plan Cost
Employee Only: $XX
Employee and Spouse: $XX
Employee and Child(ren): $XX
Employee and Family: $XX
Delta Dental PPO High Plan
Benefit Highlights
In-Network
Deductible (Individual/Family)
$50/$150
Annual Plan Max (Individual/Family)
$2,000 per person
Preventive Care
$0
Basic Services
10%
Major Procedures
40%
Orthodontia (Adults and Children)
50% up to $1,000 lifetime maximum
Out-of-Network
Deductible (Individual/Family)
$50/$150
Annual Plan Max (Individual/Family)
$2,000 per person
Preventive Care
10%
Basic Services
30%
Major Procedures
50%
Orthodontia (Adults and Children)
50% up to $1,000 lifetime maximum
Plan Cost
Employee Only: $XX
Employee and Spouse: $XX
Employee and Child(ren): $XX
Employee and Family: $XX