Keep Your Smile Healthy
Good dental care improves your overall health. The Delta Dental plan is designed to help you maintain a healthy smile through regular preventive dental care and to fix any problems as soon as they occur. Because preventive care is so important, your dental plan covers these services in full with no deductible or copay.
With the dental plan, you can receive care from any dentist you choose. Your out-of-pocket costs will be less if you choose a Delta Dental PPO network dentist.
Visit www.deltadentaloh.com and click “Find a Dentist” and then “Delta Dental” to find an in-network dentist near you. Look for dentists in the PPO network or Premier Network.
Call 800-524-0149 or visit www.deltadentaloh.com if you have questions regarding your dental coverage.
| Delta Dental Monthly Rates | Single | Family |
| $36.83 | $73.67 |
Resources
| Plan Features | In-Network | Out-of-Network |
| Annual Deductible (waived for Preventive Services) |
$50 per person $150 family maximum |
|
| Calendar Year Maximum | $1,500 | |
| Diagnostic and Preventive Services (e.g., X-rays, cleanings, exams) |
100% | 90% |
| Basic and Restorative Services (e.g., fillings, extraction, root canals) |
80% | 70% |
| Major Services (e.g., dentures, crowns, bridges) | 50% | 40% |
| Orthodontia (up to age 19) | 50% $1,000 lifetime maximum max |
Not covered |
