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 Plan
Benefit Highlights
Delta PPO Dentist/Delta Premier Dentist
Deductible (Individual/Family)
$50/$150
Annual Plan Max (per person)
$2,000/$1,500
Preventive Care
$0/10% (deductible waived)
Basic Services
10%*/10%*
Major Procedures
40%*/50%*
Orthodontia (Adults and Children)
50% up to a lifetime maximum benefit of $2,000 per individual
Implants lifetime maximum
50% up to a lifetime maximum benefit of $2,000 per individual
Out-of-Network
(Providers will be paid at usual, customary and reasonable (UCR) limits. You will be responsible for any charges in excess of UCR.)
Deductible (Individual/Family)
$50/$150
Annual Plan Max (per person)
$1,500
Preventive Care
20% of UCR
Basic Services
20% of UCR
Major Procedures
50% of UCR
Orthodontia (Adults and Children)
50 up to a lifetime maximum benefit of $2,000 per individual
*After Deductible