Delta Dental
https://Deltadentalins.com/DeltaCare 1-800-422-4234
Guide to Understanding Your Dental Plan
Comparing Your Options
Here’s a look at how the benefits under the dental plan options compare. Please note that the Delta Dental Traditional Plan (PPO) offers the Delta Dental PPO and Delta Dental Premier networks; the difference between the two is you’ll receive greater savings when you receive care from a PPO network dentist.
| DeltaCare USA DHMO | Delta Dental Traditional Plan (PPO) | |
|---|---|---|
| Routine oral exams | Covered 100%; no limit | Covered 100%; 2 per calendar year |
| Dental cleanings | Covered 100%; 2 per calendar year | Covered 100%; 2 per calendar year |
| Basic services (fillings, routine extractions, endodontics, periodontics | Covered 100% | PPO Network = Covered 100% Premier Network & Out-of-Network = Covered 90% |
| Major services (inlays/onlays, crowns) | Inlays/onlays = You pay $45 Crowns = You pay $0 – $45 |
PPO, Premier and Out-of-Network = Covered 90% |