Benefits Catalog

Dental Delta High

    • 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)
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Dental Delta Low

    • Calendar Year maximum: $1000
    • Coverage is 100% for Diagnostic and Preventative services (see plan summary for details)
    • Coverage is 60% for Restorative, oral surgery (see plan summary for details)
    • Coverage is 60% for prosthetics maintenance (see plan summary for details)
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MyHR Recommendations

  • Contact the plans or your doctors to find out if your doctors participate in your plan. Specify the plan’s full name, such as “Delta Dental High” or “Dental Dental Low”.

    Check on deductible and coverage that affect what you pay when you get any services.

    Most plans apply a limit on benefit expenditures per the calendar year (or per lifetime, in the case of orthodontic benefits). Once this calendar-year limit is reached, no additional services will be covered until the following year.

    Click here for Rollover Max Brochure

     

Benefits Department

  • Robin Tusino
    Benefits Coordinator 
    City of Framingham

    Phone: 508-532-5490
    rmt@framinghamma.gov

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 become 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 happens during the month of April of each year.