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
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.