Provider: Delta Dental
800-521-2651
deltadentalins.com

Administered by Delta Dental

You can save money by seeing a dentist in the Delta Dental PPO network. You can also see a dentist in the Delta Dental Premier network, but you may pay more. The plan pays a maximum of $2,500 in benefits each year.

ID cards are not issued for this plan but can be accessed from the Delta Dental website.

Log in to deltadentalins.com to:

Find an in-network dentist
View benefit details and claims
View pre-treatment estimates, cost estimators, and more
Access your ID card

What You Pay for Care
Deductible	$50 employee only $150 if you cover others, too
Diagnostic and preventive services	$0; no deductible
Basic services	20% after deductible
Major services	50% after deductible
Orthodontic services	50% up to $2,500 lifetime maximum; no deductible
Annual maximum benefit	$2,500