Delta Dental Plans

 

Dental Care Plus Plan

Dental Care Plan

Preventive Care Plan


All plans provide 100% coverage for nationally recommended preventive care services with no deductible requirement.


Deductible

Deductible amounts accumulate separately for each network. For example, amounts applied to the PPO Network deductible don't also apply to the Premier Network deductible (and vice versa).

Employee only

(Family deductible is 2x
employee deductible)
  • $100 PPO Network
  • $150 Premier Network
  • $200 Out-of-Network**
  • $100 PPO Network
  • $150 Premier Network
  • $200 Out-of-Network**

$0
(In- and Out-of-Network)

Annual maximum per person

(in- and out-of-network
combined)
  • PPO Network: $2,500
  • Premier Network:
    $2,000
  • Out-of-Network: $1,500**
  • PPO Network: $1,500
  • Premier Network:
    $1,250
  • Out-of-Network: $1,000**

$500

Orthodontia lifetime
maximum*
per person

(in- and out-of network
combined)
  • PPO Network: $3,000
  • Premier Network:
    $2,000
  • Out-of-Network: $1,500**

Not Covered

Not Covered

* There is one lifetime maximum, even if you change to another PPO dental plan option. In other words, your lifetime maximum doesn't reset if you change dental plans.

** The plan covers 50% of the maximum allowable amount and you may have to pay the balance of your provider’s charges if they are greater than the allowable amount.

The Cigna Dental Care Access Plus Plan is also available in certain locations and works like a dental health maintenance organization. View the patient fee schedule for more information.

 

Other Plan Comparisons

Medical Plan Comparison

Vision Plan Comparison

Other Benefits

Tax-advantaged Accounts Comparison

 

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