![]() ![]() A Delta Dental Premier dentist participates with Delta Dental but your out-of-pocket costs will be higher. Your lowest out-of-pocket costs with be with a Delta Dental PPO dentist. You can go to any dentist, but your out-of-pocket costs will vary depending on the level of the dentist’s participation with Delta Dental. View a comparison chart of the three Dental Plan options. The deductible does not apply to diagnostic and preventive services, emergency treatment to relieve pain, x-rays, sealants, periodontal maintenance, sealing and root planning, occlusal guards, and orthodontics. There is a $50 annual deductible per person and a maximum annual deductible of $150 per family. You and the university share the cost of Option 3. Coverage is 100% for any dentist for diagnostic, preventive, and basic services, and 50% for major services. Option 3 provides the greatest coverage and has the highest premium. There is a $50 annual deductible per person and a maximum annual deductible of $150 per family per benefit year. You and the university share the cost of Option 2. Major services, such as crowns, implants and dentures, are covered at 50% with a PPO dentist and 40% with a Premier dentist. Option 2 covers everything Option 1 covers, plus basic services including fillings and root canals at 100% with a PPO dentist and 60% with a Premier dentist. If you or your dependents need more extensive dental care, you may wish to consider Option 2 or Option 3.įor most faculty, staff, and retirees, the university pays the full cost for coverage for you and your eligible dependents enrolled in Option 1. However, members will pay a discounted rate for these services when they use a PPO or Premier dentist. It does not cover major services including crowns, bridges, implants, dentures, or repair of crowns, bridges, and dentures. Option 1 does not cover basic services such as fillings, root canals, or oral surgery for the treatment of gum disease. Delta Dental covers 100% of diagnostic and preventive services, with no deductible. Option 1 is for those who primarily need preventive dental work including regular checkups and cleanings. Non-surgical services to treat gum disease.Bitewing X-rays once per calendar year and full mouth X-rays once in any five-year period.Emergency treatment to temporarily relieve pain.Covered Diagnostic and Preventive ServicesĪll three options cover diagnostic and preventive services, including: ![]()
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