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Dental Insurance

DENTAL INSURANCE

PLAN OPTION ONE | DELTA DENTAL HIGH PLAN

The plan offers a calendar year maximum benefit of $1,250 and provides a lifetime orthodontic benefit of $1,000 for members up to age 19. Diagnostic and preventive services are covered at 100%, with additional details available in the plan summary. Restorative services, oral surgery, periodontics, endodontics, prosthetic maintenance, and emergency dental care are covered at 100% for dependents under age 13. For dependents aged 13 and older, coverage for these services is reduced to 80%. Additionally, prosthodontics and major restorative services are covered at 100% for dependents under age 13. For dependents aged 13 and older, coverage for these services is reduced to 50%, with further specifics outlined in the plan summary.

 

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Click here to view Delta Dental Summary of Benefits High 25 26.

PLAN OPTION TWO | DELTA DENTAL LOW PLAN

The plan offers a calendar year maximum benefit of $1,000. Diagnostic and preventive services are covered at 100%, with additional details available in the plan summary. Restorative services and oral surgery are covered at 60% for individuals older than 13 years, while those 13 years or younger are covered at 100%. Prosthetic maintenance is covered at 60% for those over the age of 13, and at 100% for those 13 years or younger, with further details provided in the plan summary.

 

Preview unavailable.
Click here to view Delta Dental Summary of Benefits Low 25 26(1).

HELPFUL LINKS

OUR RECOMMENDATIONS

We recommend contacting Delta Dental directly or your doctor's office to determine if your dental providers are included in your plan. When inquiring about your coverage, it would be helpful to mention the specific plan name, such as "Delta Dental High" or "Delta Dental Low. "

Check on deductibles and coverage that affect your pay when you get services.

Most plans limit benefits expenditures per calendar year (or per lifetime, if orthodontic benefits). Once this calendar-year limit is reached, no additional services will be covered until the following year. 

CONTACT INFORMATION

Diego Morrissey 
HR Generalist

Phone: 508-626-9107
dmorrissey@framingham.k12.ma.us

19 Flagg Drive,
Framingham, MA 01702

KEEP IN MIND

Once you choose a plan, you cannot change it during the year unless you have a qualifying status change or move out of the plan’s service area, or are retiring and becoming eligible for Medicare. If your doctor leaves your plan, you must find a new participating provider in your chosen plan.

Annual open enrollment for Dental Insurance occurs in April of each year, and the policy becomes effective on July 1.