|IN NETWORK||OUT OF NETWORK|
|Restorative Care||80%||70% after deductible|
|Prosthodontic Care||60%||60% after deductible|
|Orthodontic Care (Children and Adults)||50%||50% after deductible|
|Annual Maximum (Per Person)||$2,000||$1,500|
|Orthodontic Lifetime Maximum (Per Person)||$2,500||$2,500|
You can choose coverage for you and your family by electing the Dental Plan, administered by Delta Dental. The plan pays for a wide range of services, including preventive, restorative and orthodontic care at more than 115,000 participating dentists.
Dental Plan Overview
What You Pay for Dental Coverage
|Coverage Level||Your Biweekly Before-Tax Contribution|
|Employee + One||$13.92|
|Employee + Family||$20.88|
FIND IN-NETWORK DENTAL PROVIDERS
To find an in-network dentist, visit deltadentalins.com and click Find a Dentist. Enter your ZIP code, select Delta Dental PPO or Delta Dental Premier, then click Find a dentist. You can also call 1-800-932-0783.