Premium Payment Procedures
Dental premiums are due on a monthly basis and may be automatically withdrawn from either a checking or savings account.
Delta Dental Basic Plan Features
-
Diagnostic and preventive care to maintain good oral health. -
20% coinsurance after $25 deductible on minor restorative services. -
Coverage for preventive and minor restorative procedures only.
Delta Dental Basic Summary of Benefits
Summary of Benefits |
Delta Dental Basic |
Delta Dental Enhanced |
---|---|---|
Choosing a dentist |
Based on Delta Dental PPO & Premier in-netweork |
Based on Delta Dental PPO & Premier in-network |
Annual deductible |
$25/person; $75/ family |
$25/person; $75/family |
Annual plan maximum |
$1,500 |
$1,500 |
Routine oral exams |
100% |
100% |
Preventive: two cleanings/routine office visits per year* |
100% |
100% |
Restorative fillings |
80% |
80% |
Simple extractions |
80% |
80% |
Periodontic services |
80% |
80% |
Crown, bridge and dental implants |
Not covered |
50% |
Endodontics (root canal) |
80% |
80% |
Oral surgery |
80% |
80% |
Complete/partial dentures |
Not covered |
50% |
Orthodontics (up to age 19 on Enhanced plan) |
Not covered |
50% up to a $1,000 lifetime maximum |
Space maintainers |
Not covered |
Not covered |
*Four cleanings for patients with certain medical conditions |
Neither crowns, bridges, complete/partial dentures nor orthodontics are covered with Delta Dental Basic.
The Delta Dental network may be accessed on the web at: www.deltadentalky.com
Click here for full plan details.