Dental
Taking care of your oral health is not a luxury; it is a necessity for long-term optimal health. With a focus on prevention, early diagnosis and treatment, Dental insurance can greatly reduce your costs when it comes to restorative and emergency procedures.
When you visit a dentist in the network, you will maximize your savings. These dentists have agreed to reduced fees, which means you won’t get charged more than your expected share of the bill.
Delta Dental PPO
Plan Information
Plan Name: Delta Dental PPO
Policy Number: 21041
Effective Date: 08/01/2024
Network: Delta Dental
In-Network Benefit Highlights
Deductible (Individual/Family)
$XX/$XX
Out-of-Pocket Max (Individual/Family)
$XX/$XX
Preventive Care
$XX
Primary Care Visit
$XX
Specialist Visit
$XX
Urgent Care
$XX
Emergency Room
$XX
Benefit Highlights
In-Network
Deductible (Individual/Family)
$50/$150
Annual Plan Maximum
$2,000 per person
Preventive Care
$0
Basic Services
$0
Major Procedures
40%*
Orthodontia (Adults and Children)
50%*
*After deductible
Out-of-Network
Deductible (Individual/Family)
$50/$150
Annual Plan Maximum
$1,000 per person
Preventive Care
$0 up to Limited Fee Schedule
Basic Services
20%* to Limited Fee Schedule
Major Procedures
50%* to Limited Fee Schedule
Orthodontia (Adults and Children)
50%* to Limited Fee Schedule