Healthy teeth and healthy gums are essential for our health – but often, oral health goes overlooked, despite the fact that it can be an indicator for other important health issues you may be facing.
You have two Dental Plan options: Dental Basic and Dental Plus. Both cover 100% of diagnostic and preventive care (like cleanings and exams) with no deductible. For basic and major restorative work, you’ll need to meet an annual deductible before the plan starts paying, then you’ll pay a percentage of the remaining cost.
Orthodontia coverage (for both children and adults) is only included in the Dental Plus Plan.
Delta Dental’s Premier Network is a broad network of dentists. A smaller subset of providers participate in Delta Dental’s PPO Network. PPO dentists have agreed to accept a deeper discounted fee for their services than Premier dentists, and Delta Dental passes the savings on to you to lower your out-of-pocket c
If you are joining either of the Plans for the first time, you will receive a Delta Dental ID card in the mail. To find a participating provider near you, call 800-872-0500 or visit deltadentalma.com. There is also a link to Delta Dental on the Benefits Page.
You have two choices for dental coverage—the Dental Basic Plan and the Dental Plus Plan.
Both cover 100% of diagnostic and preventive care (like cleanings and exams) with no deductible. For basic and major restorative work, you’ll need to meet an annual deductible before the plan starts paying, then you’ll pay a percentage of the remaining cost. See the chart below for details.
Note: Orthodontia coverage for both children and adults is available in the Plus Plan only.
|
Feature |
Basic Plan |
Plus Plan |
Frequency |
|---|---|---|---|
|
Deductible |
$25/person $75/family |
$25/person $75/family |
Calendar year |
|
Maximum Benefit |
$1,000/person (no orthodontia) |
$2,500/person, $2,000 orthodontia/person/lifetime |
Calendar year (ortho = lifetime) |
|
Diagnostic & Preventive Care |
|||
|
Oral Exams |
100%, no deductible |
2x per calendar year |
|
|
Cleanings |
100%, no deductible |
2x per calendar year |
|
|
X-rays (bitewing, full-mouth, single) |
100%, no deductible |
Bitewing: 2x per calendar year Full-mouth: Once every 60 months Single: as clinically necessary |
|
|
Fluoride Treatments |
100%, no deductible |
2x per year (children only) |
|
|
Space Maintainers / Sealants |
100%, no deductible |
As clinically necessary (children only) |
|
|
Basic Restorative Care |
|||
|
Fillings |
50% after deductible |
80% after deductible |
Once every 24 months per surface per tooth |
|
Extractions / Oral Surgery |
50% after deductible |
80% after deductible |
Once per tooth |
|
Periodontal Services |
50% after deductible |
80% after deductible |
One surgical procedure in 36 months per quadrant. Only 2 quadrants are allowed per date of service |
|
Root Canal Therapy |
50% after deductible |
80% after deductible |
One per tooth |
|
Anesthesia |
50% after deductible |
80% after deductible |
Covered with surgical impacted teeth only. Only up to 1 hour |
|
Bridge or Denture Repair |
50% after deductible |
80% after deductible |
Once every 60 months (ages 16 or older) |
|
Occlusal Guards (Night Guards) |
50% after deductible |
80% after deductible |
One appliance per 60 months |
|
Occlusal Guard (Night Guard) Repair, Reline, or Adjustment |
50% after deductible |
80% after deductible |
One per 12 months |
|
Major Restorative Care |
|||
|
Crowns / Fixed Bridges |
50% after deductible |
Once per 60 months per tooth |
|
|
Dentures / Implants |
50% after deductible |
Once per 60 months |
|
|
Orthodontia |
|||
|
Comprehensive Orthodontia* (Children & Adults) |
Not Covered |
100%, no deductible (up to $2,000 lifetime) |
No age limit |
Note: Pre-treatment estimates are always recommended before having dental work done.