Dental Benefits
Delta Dental
Your dental benefits allow you to select any dentist of your choice, but if you choose a dental provider in the Delta Dental network, your out-of-pocket costs will be lower, and you will not be balanced billed. You may elect dental coverage independent of your medical election. There are two plans from which you can choose.
| Col1 | Col2 | Col3 |
|---|---|---|
| Benefit Provision | Core Plan | Buy Up Plan |
|
Deductible • Individual • Family |
$50 $150 |
$50 $150 |
|
Coinsurance • Peventive & Diagnostic Services • Basic Services • Major Services |
100% covered, no deductible 80%, after the deductible none |
100% covered, no deductible 80%, after the deductible 50%, after the deductible |
| Annual Maximum | $1,000 | $2,000 |
|
Orthodontia Covers both Adults & Children |
None | 50% ($1,000 max) |
2025 Dental Benefit Summary-Core Plan
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