Dental Benefits

Effective January 1, 2008, dental benefits are provided by Delta Dental.   The Delta Dental PPO program allows you the freedom to visit any licensed dentist, including a dentist from the Delta Dental Premier network. However, there are advantages to visiting a Delta Dental PPO dentist instead of a Premier or non-Delta Dental dentist.

Benefit Summary

 

Following is only a summary of the Dental benefits showing what the Dental Plan pays. For a complete explanation, please contact the

insurance company listed on the Quick Reference Chart.

DENTAL BENEFITS (For All Participants)
	Participating Provider	Non-Participating Provider
Diagnostic & Preventive Services	100% of reasonable and customary charges	Reimbursed in accordance with a table of allowances
Other Dental Services	90% of reasonable and customary charges	Reimbursed in accordance with a table of allowances
Orthodontics	100% of reasonable and customary charges, to a  lifetime maximum of $2,500