Dental

Dental

Delta Dental PPO

With Delta Dental PPO, you get comprehensive dental coverage to keep your smile healthy and your costs manageable.

The plan includes Preventive Care, such as checkups, cleanings, and X-rays, to catch issues early and help you avoid costly procedures later. For more advanced needs, Basic Care covers services like fillings, root canals, and gum disease treatment, while Major Care provides benefits for bridges, crowns, and dentures. Plus, Orthodontia is available for both children and adults, ensuring you and your family have access to aligned, confident smiles.

With Delta Dental PPO, you can visit any licensed dentist, but you’ll save the most when choosing an in-network provider. Find an in-network provider by visiting www.deltadental.com.

Plan Features Delta Dental PPO
In-Network Premier Network Out-of-Network
Network Name Delta Dental PPO Delta Dental Premier N/A
Calendar Year Deductible
(waived for Preventive Services) Individual/Family
$25 / $75 $25 / $75 $25 / $75
Dental Annual Maximum $2,000 per person $2,000 per person $2,000 per person
Orthodontia Lifetime Maximum $1,700 per person $1,700 per person $1,700 per person
  You pay:
Diagnostic & Preventive Services
(e.g., x-rays, cleanings, exams)
0%  0%  0% 
Basic & Restorative Services
(e.g., fillings, extractions, root canals)
10% 20% 20%
Major Services
(e.g., dentures, crowns, bridges)
40%  50% 50%
Orthodontia
(adults & children)
50% 50% 50%

It’s easy to take care of your smile with Delta Dental PPO. You’ll enjoy free diagnostic and preventive care, like checkups, cleanings, and X-rays, when you visit an in-network dentist.

To find one near you, visit http://www.deltadental.com/us/en/member/find-a-dentist.html.

With Delta Dental PPO, the cost of coverage depends on who you choose to include. Whether you’re covering just yourself, yourself and a spouse, children, or the whole family, your rates will vary—but everyone gets access to the same great benefits—including orthodontia!

Employee Cost Bi-weekly
Employee Only $5.03
Employee + Spouse $11.05
Employee + Children $10.05
Employee + Family $15.07

New York Hourly Employee Cost

Employee Cost Weekly
Employee Only $2.51
Employee + Spouse $5.53
Employee + Children $5.02
Employee + Family $7.54