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Dental premiums are due on a monthly basis and may be automatically withdrawn from either a checking or savings account.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:

Click here for full plan details.