Healthy teeth and gums are important to your overall health. That’s why it’s important to have regular dental checkups and maintain good oral hygiene.
including cleanings and X-rays.
that helps you manage the cost of dental treatment.
that have agreed to negotiated rates, which helps you save money.
Here’s a brief overview of dental plan benefits in 2024 with Delta Dental.
Delta Dental: PPO Dentists* |
Delta Dental: Premier Dentists* |
Non-Delta Dental: Dentists* |
|
---|---|---|---|
Deductible
(waived for preventive/diagnostic and orthodontia services)
|
$50/individual
$150/family |
$50/individual
$150/family |
$50/individual
$150/family |
Preventive & Diagnostic Services
(exams, cleanings, X-rays, sealants, space maintainers) |
100% | 100% | 100% |
Basic Services
(fillings, simple extractions, posterior composites, denture repair/reline/rebase) |
80% | 80% | 80% |
Endodontics
(root canals) |
80% | 80% | 80% |
Periodontics
(surgical and non-surgical) |
80% | 80% | 80% |
Oral Surgery | 80% | 80% | 80% |
Prosthodontics
(bridges, dentures) |
50% | 50% | 50% |
Implants | 50% | 50% | 50% |
Orthodontic Services
(adults and dependent children) |
50% | 50% | 50% |
* Reimbursement is based on the Delta Dental maximum contract allowances and not necessarily each dentist's submitted feeds. Reimbursement is based on PPO contracted fees for PPO dentists, Premier contracted fees for Premier dentists, and the program allowance for non-Delta Dental dentist.
Your provider options are:
Here’s how to make the most of your dental benefits:
Selecting a participating dentist in the dental plan's network will ensure you receive the highest benefits.
To find a provider, go to the Delta Dental website:
You should always submit a request for a pretreatment estimate for procedures and services your dentist believes will exceed $200 (procedures such as crowns, inlays, bridges, and periodontics).
You can review Explanation of Benefits (EOB) statements, check if claims have been paid, and more.
You will not receive a physical ID card for dental coverage, as it's not required to access services. However, if you'd like an ID card, you may download a copy online from Delta Dental.
The chart below shows the paycheck deduction you will pay on a bi-weekly basis for your dental coverage.
Enrollment Tier | PPO Dental Delta Dental |
---|---|
Employee Only | $2.88 |
Employee + Spouse/DP* | $8.75 |
Employee + Child(ren) | $10.87 |
Family | $18.94 |
*Domestic partner premiums are subject to pre- and post-tax costs and includes imputed income.