How do I find a dentist?What services are covered?Can my kids get braces?
Network Options: Delta Dental PPO Network or Delta Dental Premier Network
Delta Dental makes using your benefits a snap. Create an account and they will give you simplified access and tools to manage your dental plan. You can use their website to find a dentist, get a cost estimate for services, and even download the Delta Dental app.
(800) 521-2651 | deltadental.com
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Dental Plans |
Stay in network to save
Visit a dentist in the PPO network to maximize your savings. These dentists have agreed to reduced fees, and you won’t get charged more than your expected share of the bill. Find a PPO dentist at deltadental.com. If you can’t find a PPO dentist, consider a Delta Dental Premier dentist. These dentists have agreed to set fees and offer another opportunity to save.
Out-of-network coverage
A dentist who is “out-of-network” means the provider hasn’t agreed to negotiated rates. The plan pays benefits based on the usual & customary charge for a particular service. If the out-of-network provider charges more, you’ll be responsible for paying the amount that exceeds the usual & customary limit plus the applicable coinsurance and deductible.
Set up an online account
Get information about your plan, check benefits and eligibility information, find a network dentist and more. Sign up for an online account at deltadental.com.
Check in without an ID card
You don’t need a Delta Dental ID card when you visit the dentist. Just provide your name, birth date and enrollee ID or Social Security number. If your family members are covered under your plan, they’ll need to provide your information. Prefer to have an ID card? Simply log in to your account to view or print your card.
Coordinate dual coverage
If you’re covered under two plans, ask your dental office to include information about both plans with your claim — we’ll handle the rest.
Understand transition of care
Generally, multi-stage procedures are covered under your current plan only if treatment began after your plan’s effective date of coverage. Log in to your online account to find this date.
Get LASIK and hearing aid discounts
With access to QualSight and Amplifon Hearing Health Care5, you can save as much as 50% on LASIK procedures and more than 60% on hearing aids. To take advantage of these discounts, call QualSight at 855-248-2020 and Amplifon at 888-779-1429.
January 1 - December 31
$50 per individual
$150 per family
$50 per individual
$150 per family
$50 per individual
$150 per family
January 1 - December 31
$1,000 per individual
Exams, Cleanings, X-Rays, Sealants, and Space Maintainers
100% for covered services
No Deductible Applies
90% for covered services
No Deductible Applies
90% for covered services
No Deductible Applies
Fillings, Simple Extractions, Posterior Composites, and Oral Surgery
20% AD
30% AD
30% of Fee Schedule, AD
Crowns, Inlays, Onlays, Cast Restorations, Endodontics, Periodontics, Prosthodontics, and Implants
50% AD
60% AD
60% of Fee Schedule, AD
Children to age 19
50%
50%
50%
* Reimbursement is based on PPO contracted fees for PPO dentists, Premier contracted fees for Premier dentists and PPO contracted fees for Non-Delta Dental dentists. A dentist who is “out-of-network” means the provider hasn’t agreed to negotiated rates. The plan pays benefits based on the fee schedule charge for a particular service. If the out-of-network provider charges more, you’ll be responsible for paying the amount that exceeds the fee schedule amount plus the applicable coinsurance and deductible.
January 1 - December 31
$50 per individual
$150 per family
$50 per individual
$150 per family
$50 per individual
$150 per family
January 1 - December 31
$2,000 per individual
Exams, Cleanings, X-Rays, Sealants, and Space Maintainers
100% for covered services
No Deductible Applies
100% for covered services
No Deductible Applies
100% for covered services
No Deductible Applies
Fillings, Simple Extractions, Posterior Composites, and Oral Surgery
20% AD
20% AD
20% of Fee Schedule, AD
Crowns, Inlays, Onlays, Cast Restorations, Endodontics, Periodontics, Prosthodontics, and Implants
50% AD
50% AD
50% of Fee Schedule, AD
Children to age 19
50%
50%
50%
* Reimbursement is based on PPO contracted fees for PPO dentists, Premier contracted fees for Premier dentists and PPO contracted fees for Non-Delta Dental dentists. A dentist who is “out-of-network” means the provider hasn’t agreed to negotiated rates. The plan pays benefits based on the fee schedule charge for a particular service. If the out-of-network provider charges more, you’ll be responsible for paying the amount that exceeds the fee schedule amount plus the applicable coinsurance and deductible.
This information is designed to help you choose a benefit plan for 2025 only. Please refer to the Plan Documents provided by the carrier for information regarding coverage, limitations and exclusions. If there is a difference between this guide and the Plan Documents, the Plan Documents prevail.
