DENTAL INSURANCE
PLAN OPTION ONE | DELTA DENTAL HIGH PLAN
Calendar Year maximum: $1250; Has lifetime orthodontic benefit of $1000 up to age 19; Coverage is 100% for Diagnostic and Preventative services (see plan summary for details); Coverage is 80% for restorative, oral surgery, periodontics, endodontics, prosthetic maintenance, and emergency dental care (see plan summary for details); Coverage is 50% for Prosthodontics and Major restorative (see plan summary for details),
PLAN OPTION TWO | DELTA DENTAL LOW PLAN
Calendar Year maximum: $1000; Coverage is 100% for Diagnostic and Preventative services (see plan summary for details); Coverage is 60% for restorative and oral surgery (see plan summary for details); Coverage is 60% for prosthetics maintenance (see plan summary for details).
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.