2024 Dental Plans
The Company offers a choice of dental plans with different benefit levels and costs, so you can choose the one that works best for you.
- The Standard Option is a lower-cost plan with a lower deductible, annual maximum, and lifetime orthodontia maximum for dependents up to age 19.
- The High Option is a higher-cost plan with a higher deductible, annual maximum, and lifetime orthodontia maximum for dependents up to age 19.
Both plans offer you access to Delta Dental’s two provider networks. Delta Dental PPO network dentists generally offer the lowest contracted rates and greatest cost savings. The Delta Dental Premier network is broader than the PPO network, so you’ll have greater choice in providers; however, your out-of-pocket costs may be higher than if you had received care from a PPO network dentist.
You can enroll in dental coverage as a new hire, during Annual Enrollment, or if you have a qualifying life event.
Key features
Our dental coverage provides:
Free in-network preventive and diagnostic care
every 6 months to help keep your teeth healthy.
Affordable coverage
that helps you manage the cost of dental treatment.
Wide network of providers
that have agreed to negotiated rates, which helps you save money.
Coverage details
| Standard Option | High Option | |||
|---|---|---|---|---|
| In-Network | Out-of-Network | In-Network | Out-of-Network | |
| Paycheck Contribution | $ | $$ | ||
| Deductible (separate from your medical/prescription drug deductible) | $75 individual $150 family |
$100 individual $200 family |
$100 individual $200 family |
$125 individual $225 family |
| Preventive/Diagnostic Services (exams, cleanings, fluoride, sealants, X-rays, consultations, and space maintainers) | Covered at 100%, you pay nothing | Covered at 100%, you pay nothing | ||
| Basic Services (fillings, root canals, oral surgery, denture repair and relining, and treatment of gum disorders) | You pay 20% after deductible | You pay 20% after deductible | ||
| Major Services (crowns, dentures, bridges, inlays, onlays, and occlusal guards) | You pay 50% after deductible | You pay 50% after deductible | ||
| Annual Maximum (applies to basic and major services only) | Plan pays $1,000 per person | Plan pays $2,000 per person | ||
| Orthodontia (for dependent children up to the month they reach age 19) | You pay 50% after deductible | You pay 50% after deductible | ||
| Orthodontia Lifetime Maximum | Plan pays $1,500 per person | Plan pays $2,500 per person | ||
| TMJ Lifetime Maximum | Plan pays $1,000 per person | Plan pays $1,000 per person | ||
*Note:You pay coinsurance on the lesser of Delta Dental’s Maximum Plan Allowance or the dentist’s actual charge.
Access your dental plan online
Visit the Delta Dental website or download the mobile app to find a dentist, review claims, check coverage details, and more.