Physical health
Dental coverage
Supports preventive care and treatment that helps you keep a healthy smile.
Coverage is provided through Delta Dental. Manage your dental benefits, find a provider and explore exclusive member perks through Delta Dental’s easy-to-use online tools. Visit deltadentalins.com to create an account and get started.
|
Delta Dental
base |
Delta Dental
buy-up |
|
PPO + Premier Dentist |
PPO + Premier Dentist |
| Deductible |
| Individual |
$50 |
$50 |
| Family |
$150 |
$150 |
| Yearly maximum |
| Per person |
$1,500 |
$1,500 |
| Benefit coverage |
| Preventive - cleanings & exams (three in 12 months) |
100% |
100% |
| Basic restorative - fillings, simple extractions, periodontal maintenance, crown/denture/bridge repair |
80% |
80% |
| Major restorative - bridges, dentures, oral surgery, endodontic procedures, periodontal surgery, implant services |
50% |
50% |
| Orthodontia |
| Benefit coverage |
Not covered |
50% |
| Lifetime maximum |
Not covered |
$2,000 |
| Age limit |
Not covered |
Adults & children |
Dental plan documents
