Good dental health is just as important as your annual physical. According to the American Academy of Periodontology, dental diseases (if left unattended) can contribute to health issues like heart disease, stroke, pre-term birth, and diabetes. In fact, gum health is as good an indicator of heart disease as high cholesterol is!
Dental plans protect you from major dental expenses, and usually cover everything from preventive care, like exams and cleanings, to major care like root canals and dentures.
Importance of Preventive Care
How to Find a DPPO Network Dentist
Access https://www.deltadentalnj.com/fad/search from your computer in four easy steps:
1. Enter your city, zip code, or partial address
2. Select the distance you are willing to travel
3. Select a network
4. Click “Search”
How to Find a DHMO Network Dentist
1. Go to https://www1.deltadentalins.com/members/find-a-dentist.html
2. Look for the Find a Dentist tool. Enter a location (address, ZIP code or city and state).
3. For a more targeted search, you can enter the name of your dentist or dental office.
4. Click Search.
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Annual Maximum
The maximum dollar amount the dental plan will pay toward the cost of your dental care.
In-network:
PPO Dentist:
$2,000 per person/year
Premier Dentist:
$2,000 per person/yearOut-of-network:
$2,000 per person/year
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Deductible
The amount you must pay out of pocket before the dental plan shares costs with you. Deductible may not apply to all services.
In-network:
PPO Dentist:
$50/Individual, $150/Family
Premier Dentist:
$50/Individual, $150/FamilyOut-of-network:
$50/Individual, $150/Family
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Preventive Services
A category of dental service that typically includes exams, routine cleanings, and some x-rays.
In-network:
PPO Dentist:
You pay 0% (No deductible)
Plan pays 100%
Premier Dentist:
You pay 0% (No deductible)
Plan pays 100%Out-of-network:
You pay 0% (No deductible)
Plan pays 100%
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Basic Services
A category of dental service that typically includes fillings, root canals, periodontics, endodontics.
In-network:
PPO Dentist:
You pay 0% (after deductible)
Plan pays 100%
Premier Dentist:
You pay 10% (after deductible)
Plan pays 90%Out-of-network:
You pay 10% (after deductible)
Plan pays 90%
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Major Services
A category of dental service that typically includes anesthesia, dentures, implant services.
In-network:
PPO Dentist:
You pay 30% (after deductible)
Plan pays 70%
Premier Dentist:
You pay 40% (after deductible)
Plan pays 60%Out-of-network:
You pay 40% (after deductible)
Plan pays 60%
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Orthodontia Services
In-network:
PPO Dentist:
You pay 50% (after deductible)
Plan pays 50% up to $2,000
Premier Dentist:
You pay 40% (after deductible)
Plan pays 60% up to $2,000Out-of-network:
You pay 40% (after deductible)
Plan pays 60% up to $2,000
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Click To Download Plan Documents:
| Dental DPPO Plan | Dental DHMO Plan |
|---|---|
Annual MaximumIn-network: PPO Dentist: |
Annual MaximumIn-network: None |
DeductibleIn-network: PPO Dentist: |
DeductibleIn-network: None |
Preventive ServicesIn-network: PPO Dentist: |
Preventive ServicesIn-network: Copay Schedule |
Basic ServicesIn-network: PPO Dentist: |
Basic ServicesIn-network: Copay Schedule |
Major ServicesIn-network: PPO Dentist: |
Major ServicesIn-network: Copay Schedule |
Orthodontia ServicesIn-network: PPO Dentist: |
Orthodontia ServicesIn-network: Copay Schedule |
DCUSAN/A |
DCUSAMembers can now visit their preferred DCUSA provider to elect the provider. Once the visit is completed, the provider will send an encounter (claim) for the member which will prompt assignment. This process applies to new assignments only, not changes.
|
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Annual Maximum
The maximum dollar amount the dental plan will pay toward the cost of your dental care.
In-network:
None
Out-of-network:
None
-
Deductible
The amount you must pay out of pocket before the dental plan shares costs with you. Deductible may not apply to all services.
In-network:
None
Out-of-network:
None
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Preventive Services
A category of dental service that typically includes exams, routine cleanings, and some x-rays.
In-network:
Copay Schedule
Out-of-network:
N/A
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Basic Services
A category of dental service that typically includes fillings, root canals, periodontics, endodontics.
In-network:
Copay Schedule
Out-of-network:
N/A
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Major Services
A category of dental service that typically includes anesthesia, dentures, implant services.
In-network:
Copay Schedule
Out-of-network:
N/A
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Orthodontia Services
In-network:
Copay Schedule
Out-of-network:
N/A
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DCUSA
Members can now visit their preferred DCUSA provider to elect the provider. Once the visit is completed, the provider will send an encounter (claim) for the member which will prompt assignment. This process applies to new assignments only, not changes.
Members can change their DCUSA provider at any time. If changes are requested prior to the 15th of the month, the effective date of the change will be the same day. Changes requested after the 15th will be effective the 1st of the following month.
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Click To Download Plan Documents:
| Dental DHMO Plan | Dental DPPO Plan |
|---|---|
Annual MaximumIn-network: None |
Annual MaximumIn-network: PPO Dentist: |
DeductibleIn-network: None |
DeductibleIn-network: PPO Dentist: |
Preventive ServicesIn-network: Copay Schedule |
Preventive ServicesIn-network: PPO Dentist: |
Basic ServicesIn-network: Copay Schedule |
Basic ServicesIn-network: PPO Dentist: |
Major ServicesIn-network: Copay Schedule |
Major ServicesIn-network: PPO Dentist: |
Orthodontia ServicesIn-network: Copay Schedule |
Orthodontia ServicesIn-network: PPO Dentist: |
DCUSAMembers can now visit their preferred DCUSA provider to elect the provider. Once the visit is completed, the provider will send an encounter (claim) for the member which will prompt assignment. This process applies to new assignments only, not changes.
|
DCUSAN/A |