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.

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	Delta Dental High PPO Plan	Delta Dental Low PPO Plan
Deductible	$50 employee only $150 if you cover others, too	$75 employee only $225 if you cover others, too
Diagnostic and preventive services	$0; no deductible	$0; no deductible
Basic services	20% after deductible	40% after deductible
Major services	50% after deductible	60% after deductible
Orthodontic services	50% up to $2,500 lifetime maximum; no deductible	No coverage
Annual maximum benefit	$2,500	$1,000