Dental coverage through Delta Dental helps employees pay for exams, x-rays, basic and major services, and orthodontia. In-network dentists offer discounted rates, but you can see any dentist you choose.
Donʼt forget about Delta Dentalʼs online Consumer Toolkit. You can find a dentist, check benefits, select paperless notices, review claims, print ID cards, and more – all at your own convenience.
Notable Benefits
| Orthodontia max | $1,500 |
| In-network basic services | Covered at 90% Includes fillings, root canals, extractions and sealants. |
| In-network major services | Covered at 60% Includes crowns, implants and bridges |
| Extra cleanings | Up to four a year For employees with diabetes and other specified conditions that impact your oral health. |
Expanded coverage for specialty Oral Exams
Beginning January 1, 2024 Oral exams (including evaluations by a specialist) will be payable twice per calendar year. An evaluation limited to a specific problem or complaint is also payable twice in the same calendar year.
Dental Benefits By The Numbers
$50
/person deductible
$150
/family per benefit year
$1,500
annual max payment / person per benefit year
Additional Information
Deductible: $50 Deductible per person total per calendar year limited to a maximum Deductible of $150 per family per calendar year. The Deductible does not apply to oral exams, prophylaxes (cleanings), fluoride, X-rays, periodontal maintenance, full mouth debridement, diagnostic casts, photos, and orthodontics.
Maximum Payment: $1,500 per person total per calendar year on all services, except oral exams, preventive, X-rays, full mouth debridement, periodontal maintenance, cephalometric films, photos, diagnostic casts and orthodontic services. $1,500 per person total per lifetime on cephalometric films, photos, diagnostic casts, and orthodontic services.
What’s Covered
- Oral exams are payable twice per calendar year.
- Prophylaxes (cleanings) are payable twice per calendar year.
- People with specific at-risk health conditions may be eligible for additional prophylaxes (cleanings) or fluoride treatment. The patient should talk with his or her dentist about treatment.
- Fluoride treatments are payable twice per calendar year for people up to age 19.
- Space maintainers are payable once per area per lifetime for people up to age 15.
- Bitewing X-rays are payable once per calendar year and full mouth X-rays (which include bitewing X-rays) are payable once in any three-year period.
- Sealants are payable once per tooth per lifetime for the occlusal surface of first and second permanent molars up to age 16. The surface must be free from decay and restorations.
- Composite resin (white) restorations are Covered Services on posterior teeth.
- Implants and implant related services are payable once per tooth in any five-year period.
