Dental Benefits
Healthy Smiles, Healthy Lives – An Additional Cleaning Benefit
Eligible members with any of the following medical conditions may be eligible for up to two additional cleanings per year.
- Periodontal disease
- Pregnancy
- Diabetes
- Suppressed immune systems due to chemotherapy and/or radiation treatment, HIV infection, organ transplant and/or stem cell (bone marrow) transplant
If eligible, you can self-report your condition(s) to Delta Dental online or by mail to obtain the additional cleanings. Your dentist can also file a report for you.
| In-Network | |
|---|---|
Deductible (Individual/Family) |
$50/$150 |
Annual Maximum Per Person |
$2,000 |
Preventive |
Covered at 100% |
Basic |
Covered at 80% |
Major |
Covered at 50% |
Orthodontia |
Covered at 50% |
Orthodontia Lifetime Max |
$2,000 |
| Associate Cost | Monthly Rate | Per Pay Period Rate |
|---|---|---|
Associate Only |
$10.00 |
$4.62 |
Associate + Child(ren) |
$25.00 |
$11.54 |
Employee + Spouse |
$25.00 |
$11.54 |
Associate + Family |
$25.00 |
$11.54 |
Associate + Domestic Partner |
Available |
Available |
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