Dental Insurance by Delta Dental | High Plan
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)
Dental Insurance by Delta Dental | Low Plan
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)
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 “Delta Dental Low.”
Check on deductibles and coverage that affect what you pay when you get any services.
Most plans apply a limit on 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.
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 happens during the month of April of each year with the effective date of July 1.