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  Dental Base Plan
Dental BUY-UP Plan
  Delta Dental PPO In-Network Dentist Delta Dental Premier &
Out-of-Network Dentist
PPO In-Network Dentist ONLY
Deductible $50/Individual
$150/Family
$50/Individual
$150/Family
Benefit Maximum
(calendar year)
Plan pays $2,000/Individual Plan pays $3,000/Individual
Diagnostic and Preventive Benefits
(oral exams, cleanings, X-rays, etc.)*
No copay or deductible Deductible applies No copay or deductible
Basic Benefits
(oral surgery, fillings, root canals, etc.)
You pay 20% You pay 20%
Crowns, Other Cast Restorations You pay 50% You pay 40%
Prosthodontic
(bridges, full and partial dentures)
You pay 50% You pay 40%
Implant You pay 50% with a $2,000 lifetime max/individual You pay 40% with a $3,000 lifetime maximum/individual
Orthodontic Benefits
(adults and children)
You pay 50% with a $2,000 lifetime max/individual You pay 40% with a $3,000 lifetime maximum/individual

* Not subject to benefit maximum.

Fees are based on Delta’s PPO fees for in-network dentists and the maximum plan allowance (MPA) for out-of-network dentists.

Find a Delta Dentist

Login into Delta Dental Insurance using your SSN and date of birth or call (800) 427-3237.

Dental Care for Children

Whether you have a toddler or a kid in elementary school, help your child have healthy teeth for a lifetime.  Learn more about oral health for kids and teens on Delta Dental's website, and help your child learn about dental health the fun way, with stories, games and tips at www.mysmilekids.com

Kids' Coloring and Activity Book

First Tooth Letter from the Tooth Fairy

Tooth Fairy Certificate

Teen Oral Health flyer