Notice

Happy Thanksgiving! Our offices will be operating during normal call center hours from 8:00 AM to 5:00 PM ET on Wednesday, November 27th. We will be closed on Thursday, November 28th and Friday, November 29th to allow our associates time to spend with their families and loved ones. We wish you a wonderful holiday filled with gratitude and joy!


We apologize for any inconvenience this may cause. Please self-service by signing into your account or using our Interactive Voice Response System (IVR) 24/7 at 800-452-9310.

Essential Health Benefits Enhanced Family PPO Plan III (1500)

Starting at
$45.70

 

Benefit Summary

PPO calendar year maximum$1,500
per adult enrollee
Premier & OON calendar year maximum$1,000
per adult enrollee
PPO annual out of pocket maximumNo limit
 
Premier & OON annual out of pocket maximumNo limit
 
PPO deductible$25/$75
per adult enrollee (not applied to P&D)
Premier & OON deductible$50/$150
per adult enrollee (not applied to P&D)
                                         Preventive & Diagnostic
Oral exams/evaluations100%
 
Cleanings100%
 
Bitewing X-rays100%
 
SealantsNot covered
 
Topical fluorideNot covered
 
In-office A1C diabetes testing100%
 
                                                  Basic Services
Composite (white) fillings80%
 
                                                  Major Services
Endodontics50%
 
Periodontics50%
 
Oral surgery50%
 
Crowns50%
 
Onlays50%
 
Prosthodontics (dentures, bridges)50%
 
Denture repairs50%
 
Orthodontics (medically necessary)Not covered
 
Orthodontics (not medically necessary)Not covered
 
Waiting periodsNone
 
Plan Details Collapse

Pediatric Benefits <19

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PPO calendar year maximumNone
per pediatric enrollee
Premier & OON calendar year maximumNone
per pediatric enrollee
PPO annual out of pocket maximum$350/$700
1 child/2 or more children
Premier & OON annual out of pocket maximumNo limit
 
PPO deductible$35/$105
per pediatric enrollee (not applied to P&D)
Premier & OON deductible$35/$105
per pediatric enrollee (not applied to P&D)
                                         Preventive & Diagnostic
Oral exams/evaluations100%
 
Cleanings100%
 
Bitewing X-rays100%
 
Sealants100%
 
Topical fluoride100%
 
In-office A1C diabetes testing100%
 
                                                  Basic Services
Composite (white) fillings80%
 
                                                  Major Services
Endodontics50%
 
Periodontics50%
 
Oral surgery50%
 
Crowns50%
 
Inlays/onlays50%
 
Prosthodontics (dentures, bridges, implants)50%
 
Denture repairs50%
 
Orthodontics (medically necessary)50%
 
Orthodontics (not medically necessary)Not covered
 
Waiting periodsNone
 
Plan Details Collapse

This is a summary of deductible, coinsurance, out-of-pocket limits, and other components of plan design. All coverage provisions, limitations and exclusions can be found in the group contract and certificate of coverage. Some Covered Services for Pediatric Enrollees require that you obtain a Prior Authorization from us before the service is performed. The covered dental services that require Prior Authorization are described in the certificate of coverage. Where Prior Authorization is required but not obtained, Delta Dental can apply a penalty of up to 50% of the charges that would otherwise be covered.

 

Transparency in coverage