Dental PPO Options
You have two dental PPO options to choose from: Dental Care and Dental Care Plus. Both plans are administered by Delta Dental. Similar to a medical PPO plan, the Delta Dental PPO Plan options provide a higher level of benefit coverage when you visit an in-network dentist.
Comparing the PPO Dental Plans
| Dental Care | Dental Care Plus | Preventive Care |
|---|
| Deductible |
$50/100 Preferred
$100/$200 Premier
$150/$250 Out-of-Network |
$50/$100 Preferred
$100/$200 Premier
$150/$250 Out-of-Network |
$0
(In- and Out-of-Network) |
| Annual Maximum (per person) |
$1,500 Preferred
$1,250 Premier
$1,000 Out-of-Network |
$2,000 Preferred
$1,500 Premier
$1,000 Out-of-Network |
$500 (In- and Out-of-Network) |
| Your Coinsurance |
| Preventive |
0% |
0% |
0% |
| Basic Restorative |
80% Preferred
75% Premier
70% Out-of-Network
|
80% Preferred
75% Premier
70% Out-of-Network |
Not covered |
| Major Restorative |
50% |
50% |
Not covered |
| Orthodontia |
Not covered |
50% up to a lifetime maximum of $2,000 |
Not covered |