Archive: Dental 2023

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Delta Dental

  • https://www1.deltadentalins.com
  • 800-521-2651
  • $2,000 or $2,500 benefit coverage
  • Two preventive basic cleanings each year at no cost
  • Basic and major dental services coverage
  • Providers nationwide on the Delta Dental PPO and Premier networks
  • Orthodontia benefits on the Dental Plus plan

Need help? Use the HealthJoy app to find a provider.

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Dental Plans
 Dental (2000)
Summary Plan Description		Dental Plus (2500)
Summary Plan Description
ServicesContracted DentistNon-Contracted DentistContracted DentistNon-Contracted Dentist
Preventive
Routine exams, cleanings (2 per year), topical fluoride, x-rays, space maintainers, sealants100%100% of R&C100%100% of R&C
Basic
Composite fillings, extractions, oral
surgery, endodontics, periodontics
(No Waiting Period)		80%80% of R&C80%80% of R&C
Major
Crowns, bridges, dentures, surgical
implants
​(No Waiting Period)		50%50% of R&C50%50% of R&C
Orthodontics
Lifetime MaximumNo BenefitNo Benefit$2000$2000
Maximum Benefit (Applies to Basic and Major Services Per Benefit Period)
Benefit Period is Per Calendar Year$2,000$2,500
Deductible (Per Benefit Period)
Per Person:
Family Maximum:		$50.00
$150.00		$50.00
$150.00		​$50.00
$150.00		$50.00
$150.00
Specialists
Endodontists, Oral Surgeons, Pediatric, Periodontists, Prosthodontists
Contracted Specialist payment:
  1. You receive a 20% discount off the Specialist fee
  2. Plan pays according to the Reasonable and Customary fees
  3. Member pays the difference between plan payment and discounted Specialist fee
 
Non-contracted Specialist payment:Paid the same as non-contracted dentists 
Dental Rates
2024Full TimePart Time
 MonthlyMonthly
Dental (2000)
Single$10$20
Two party$22$35
Family$29$45
Dental Plus (2500)
Single$28$40
Two party$64$102
Family$86$127
COBRA Rates
2024 
Dental 2000 (Cost per month)
Employee$36
Employee + 1 Child$81
Employee + Spouse$81
Employee + Children$107
Employee + Family$107
Dental Plus 2500 (Cost per month)
Employee$48
Employee + 1 Child$109
Employee + Spouse$109
Employee + Children$147
Employee + Family$147
Resources

Did you have services with a non-Delta Dental provider?

If you have any difficulty reading the documents linked below, you may be able to get a copy in your preferred language. Please call: 1-866-530-9675

Delta Dental