Dental
Your dental options include Delta Dental Standard (Low) and Delta Dental Enhanced (High).

Both options allow you to choose any dentist, but you receive a higher level of coverage and lower out-of-pocket costs when you use participating network dentists.

Find a Network Dentist

Delta Dental has two networks — Delta Dental PPO and Delta Dental Premier — with bigger discounts when you use a Delta Dental PPO network dentist.
 

To find an in-network dentist, go to Delta Dental, download the Delta Dental mobile app or call 1-800-323-1743. If you use an out-of-network provider, the Program pays benefits in accordance with Delta Dental’s Premier maximum plan allowance.

Dental Options at a Glance

BENEFIT DESCRIPTION IN-NETWORK & OUT-OF-NETWORK
DEDUCTIBLE
(No deductible applies for preventive/diagnostic services)
$50 individual/$150 family
ANNUAL BENEFIT MAXIMUM —
NON-ORTHODONTIA
$1,500 per individual
LIFETIME ORTHODONTIA MAXIMUM BENEFIT NA
PREVENTIVE
(Routine exams, cleanings, bitewing x-rays, fluoride application to age 19, sealants to age 16, etc.)
You pay $0
BASIC
(Fillings, full mouth x-rays, routine extractions, root canals, periodontics, oral surgery, surgical extractions, etc.)
You pay 50%
MAJOR
(Crowns, dentures, bridges, implants, etc.)
You pay 50%
ORTHODONTIA NA
BENEFIT DESCRIPTION IN-NETWORK & OUT-OF-NETWORK
DEDUCTIBLE
(No deductible applies for preventive/diagnostic services)
$50 individual/$150 family
ANNUAL BENEFIT MAXIMUM —
NON-ORTHODONTIA
$2,000 per individual
LIFETIME ORTHODONTIA MAXIMUM BENEFIT $2,000 per individual receiving treatment per lifetime
PREVENTIVE
(Routine exams, cleanings, bitewing x-rays, fluoride application to age 19, sealants to age 16, etc.)
You pay $0
BASIC
(Fillings, full mouth x-rays, routine extractions, root canals, periodontics, oral surgery, surgical extractions, etc.)
You pay 20%
MAJOR
(Crowns, dentures, bridges, implants, etc.)
You pay 50%
ORTHODONTIA You pay 50%

Enhanced Benefits Program

With Delta Dental’s Enhanced Benefits Program, individuals who have specific health conditions — such as periodontal disease, diabetes, pregnancy or other specific conditions — can receive additional cleanings and/or topical fluoride applications. You must be registered for this program; go to Delta Dental or call 1-800-323-1743.