Dental
Quick Reference
Website
Call Delta Dental customer service: 800-335-8265
Find a provider
Coverage Highlights
- When you need care, you choose a Delta Dental network dentist, or a non-network dentist
- Generally, you will pay less when you use a Delta Dental network dentist because they discount their services and can’t balance bill you
Features
| Deductible | None |
| Annual Benefit Limit | $1,000/calendar year for you and all enrolled family members |
| Lifetime Maximum (orthodontic) |
$2,000/eligible child |
| Type of Care | Plan Pays | You Pay |
|---|---|---|
| Diagnostic/Preventive (e.g., cleanings, x-rays) | 100% | 0% |
| Basic (e.g., fillings, extractions, endodontics, periodontics) | 80% | 20% |
| Prosthodontics (e.g., crowns, bridgework, dentures, inlays) | 50% | 50% |
| Orthodontics (for enrolled children through age 19) | 50% | 50% |
| Oral Surgery | Covered under the Medical Plan | Covered under the Medical Plan |