Delta Dental
Eskaton’s dental coverage provided through Delta Dentalallows you to receive care from any licensed dentist of your choice but you will receive the most greatest benefit and lowest out of pocket costs by using dentist in the Delta Dental PPO network or the Delta Dental Premier network.
Coverage | Delta PPO Dentist | Delta Premier | Non Delta Dental |
|---|---|---|---|
| Deductible | $50 per person | ||
| Annual Max | $1,500 per person | ||
| Preventative (Exams, Cleaning, X Rays) | 100% (deductible waived) | ||
| Basic (Fillings, Root Canals) | 20% after deductible | 20% after deductible | 20% of UCR*after deductible |
| Major (Dentures, Crowns) | 80% after deductible | 20% after deductible | 20% of UCR*after deductible |
| Ortho (Adults & Children) lifetime maximum | $1,000 per person | 20% after deductible | 20% of UCR*after deductible |
| Orthodontics services | 50% up to $1,000 lifetime maximum per person | ||
*Out-of-network providers will be paid at usual, customary and reasonable (UCR) limits. You will be responsible for any charges in excess of UCR.
This is intended to be a guide. For a complete description, refer to the summary plan documents. If there is a discrepancy, the plan documents govern.
What do I need to think about?
- Deductions are taken biweekly
- Insurance deductions are deducted pre-tax.
Coverage Tier | Team Member Monthly Cost | Team Member |
|---|---|---|
| Team Member Only | $27.00 | $13.75 |
| Team Member + One Dependent | $60.00 | $30.00 |
| Team Member + Family | $105.00 | $52.50 |
Why use in-network dentists?
- Discounted rates
- Cannot balance bill
- Won’t bill you up-front
- Will handle insurance paperwork
Where’s my ID card?
ID Cards are not automatically issued. To request a card, contact Delta at: deltadentalins.com or call 888-335-8277
Delta Dental Provider Finder: www1.deltadentalins.com
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