DUAL DENTAL PLAN (PPO)
We offer a dental plan to all eligible employees through Delta Dental. While you can visit any licensed dentist, your cost is lower when you visit a dentist in the Delta PPO or Premier network. Our carrier pays based on their fee schedule to out-of-network dental providers, so you could see a balance bill for any service provided by an out-of-network provider including preventive care.
See the chart below for the differences in coverage and benefit levels for in- and out-of- network services. To obtain a list of providers in the network, visit www1.deltadentalins.com or call 888-335-8227. Download the Delta Dental app from your smartphone app store, so you will have your coverage information at your fingertips. ID cards are not provided for Dental insurance. Just provide your name, birth date and enrollee ID or Social Security number. If your family members are covered under your plan, they’ll need your information. Prefer to have an ID card? Simply log in to your account to view or print your card. For more information, see the Dental Plan summary plan description (SPD).
PPO In-Network | Out-of-Network* |
|
|---|---|---|
| Preventative | 0% deductible waived | 0% deductible waived |
| Deductible | ||
| Individual | $50/$150 | |
| Preventative | No charge | |
| Basic | You pay 20% after ded | |
| Major | You pay 50% after ded | |
| Annual Maximum | $1,500 per person | |
| Orthodontia (Adults and dependent children) | $1,000 per person (Lifetime Max) | |
Value Added Benefits
- - Visit www.brushsmart.org to receive a 20% discount on Philips Sonicare Products
- - Expanded Coverage for Expecting Mothers: additional exam; additional cleaning or scaling, and root planning
- - LASIK discounts with QualSight: save up to 35%
- - Hearing Adis and discounts with Amplifon save an average of 66%
- - Ready to make the most of your membership. To get started visit Member Perks. https://www1.deltadentalins.com/memberperks.html
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