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. We’re enhancing the plan in 2026 to include necessary night guards!
Contact Information
Delta Dental
888-335-8227
deltadentalins.com
Delta Dental PPO
Benefit Highlights
PPO Dentists
Deductible (Individual/Family)
$50/$150
Annual Plan Max (Individual/Family)
$2,000
Preventive Care
$0
Basic Services
10% after deductible
Major Procedures
40% after deductible
Orthodontia (Adults and Children)
50% up to a lifetime maximum benefit of $1,500 per individual; deductible waived
Out-of-Network
Deductible (Individual/Family)
$50/$150
Annual Plan Max (Individual/Family)
$2,000
Preventive Care
$0*
Basic Services
20% after deductible*
Major Services
50% after deductible*
Orthodontia (Adults and Children)
50% up to a lifetime maximum benefit of $1,500 per individual; deductible waived*
Premier Dentists
Deductible (Individual/Family)
$50/$150
Annual Plan Max (Individual/Family)
$2,000
Preventive Care
$0
Basic Services
20% after deductible
Major Services
50% after deductible
Orthodontia (Adults and Children)
50% up to a lifetime maximum benefit of $1,500 per individual; deductible waived
* Reimbursement is up to the maximum contracted allowance.
Plan Cost - Bi-Weekly
Employee Only: $0.00
Employee and Spouse: $12.46
Employee and Child(ren): $15.69
Employee and Family: $25.85
