You are here: 17吃瓜在线 Human Resources Benefits Health & Welfare Dental

Back to top

Dental Coverage

17吃瓜在线 offers full-time faculty and staff a choice between two dental plans through听Delta Dental, Basic Dental and Comprehensive Dental.

Plans

Delta Dental Basic

The Basic Plan covers screenings, cleanings, fillings, periodontics, and is available for a lower monthly cost. For the Basic Plan, you must choose a dentist who is in the Delta Dental PPO network.

Delta Dental Comprehensive

The Comprehensive Plan helps you pay for most necessary dental services and supplies, including orthodontia.听PPO, Premier庐, and out-of-network dentists are covered in the Comprehensive Plan.

Cost for dental coverage

17吃瓜在线 contributes to the cost of your dental coverage: 25% for individual and 20% for individual +1 and family coverage.听Your cost for dental coverage is deducted from your pay on a pre-tax basis.

Cost for coverage

Select your annual salary range to view your cost for coverage.

Your portion of the cost of the medical coverage is deducted from your pay on a pre-tax basis.

Compare Delta Dental basic and comprehensive plans
听 Delta Dental Basic1 Delta Dental Comprehensive2
听 PPO Dentist Delta Dental Premier & Non-PPO Dentists PPO Dentists Delta Dental Premier & Non-PPO Dentists

Reimbursements are based on Delta Dental鈥檚 maximum contract allowances, not necessarily each dentist鈥檚 submitted fees. Limitations or waiting periods may apply for some benefits, and some services may be excluded from your plan.听

1 Basic Plan: Fees are based on PPO fees for PPO dentists. Services by Premier or non-PPO dentists are not covered.
2 Comprehensive Plan: Reimbursement is based on PPO contracted fees for PPO dentists, PPO contracted fees for Premier dentists, and PPO contracted fees for non-PPO dentists.
3 Diagnostic and preventive services will not count toward the calendar year maximum.
4 Fluoride treatment is covered only for children up to age 19.

Deductible

Waived for diagnostic, preventive and orthodontics

$50 individual

$150 family

 Not applicable

$50 individual

$150 family

$50 individual

$150 family

Plan maximum

$1,000 per person
calendar year maximum

 Not applicable

$2,000 per person
calendar year maximum

$1,500 per person
orthodontic lifetime maximum

$2,000 per person
calendar year maximum

$1,500 per person
orthodontic lifetime maximum

Diagnostic and preventive services3 4

Oral exams, cleanings, x-rays, and sealants

100% of allowed benefit

No deductible

 Not covered

100% of allowed benefit

No deductible

100% of allowed benefit

No deductible

Basic services

Fillings and posterior composites

50% of allowed benefit after deductible

Not covered

 80% of allowed benefit after deductible

70% of allowed benefit after deductible

Endodontics

Root canals

 50% of allowed benefit after deductible Not covered 80% of allowed benefit after deductible 70% of allowed benefit after deductible

Periodontics

Gum treatment

 50% of allowed benefit after deductible Not covered

50% of allowed benefit after deductible

 40% of allowed benefit after deductible

Oral surgery

Incisions, excisions and surgical removal of tooth

Not covered

 Not covered 80% of allowed benefit after deductible 70% of allowed benefit after deductible

Prosthodontics

Bridges, dentures and implants

 Not covered

Not covered

 50% of allowed benefit after deductible

40% of allowed benefit after deductible

Orthodontic services

Adults and children

Not covered

 Not covered 50% of allowed benefit after deductible 50% of allowed benefit after deductible

The Basic Plan requires that you choose a PPO network dentist. Please contact your dentist's office to confirm that they are a participating Delta Dental PPO provider.听

The Comprehensive Plan lets you select any licensed dentist, but greater cost savings are realized when you select a dentist who participates in the Delta Dental PPO or Premier network.听Please contact your dentist's office to confirm that they are a participating Delta Dental PPO, Premier, or non-participating provider.听

To find a participating dentist, check your benefits, review the plan, or print dental ID cards online, visit . If you have questions about your dental benefits, contact Delta Dental at 800-932-0783.

If your dental care will be extensive, ask your dentist to complete and submit a claim form to Delta Dental for a predetermination of benefits. Delta Dental will advise you exactly what procedures are covered, the amount that will be paid toward the treatment, and your financial responsibility.

CareFirst

Discount dental benefits are available through CareFirst鈥檚 BlueChoice network. The dental plan is administered by The Dental Network and provides discounts of 20% to 40%.

To find a participating provider, visit听.

Kaiser

Kaiser HMO听also provides discount dental benefits to participating members.

Kaiser's discount dental benefits are administered by Liberty Dental Plan听and provide听preventive care services after a $30 copay and other services according to a fee schedule.

For an up-to-date list of dental providers and the fee schedule for the $30 preventive plan, visit .听

听

17吃瓜在线 makes every effort to ensure the accuracy of the information that appears on the benefits site. However, if there are discrepancies between the information presented and the legal documents governing a plan or program (the "plan documents"), the plan documents will always govern. 17吃瓜在线 reserves the right to amend or terminate any benefit plan at its sole discretion at any time, for any reason.