Dental
Taking care of your oral health is not a luxury; it is a necessity for long-term optimal health. With a focus on prevention, early diagnosis, and treatment, Dental insurance can greatly reduce your costs when it comes to restorative and emergency procedures.
When you visit a dentist in the network, you will maximize your savings. These dentists have agreed to reduced fees, which means you won’t get charged more than your expected share of the bill.
Delta Dental PPO Buy Up
Plan Information
Plan Name: Delta Dental PPO Buy Up
Policy Number: 21578
Effective Date: 01/01/2025
Network: Delta Dental
In-Network Benefit Highlights
Deductible (Individual/Family)
$XX/$XX
Out-of-Pocket Max (Individual/Family)
$XX/$XX
Preventive Care
$XX
Primary Care Visit
$XX
Specialist Visit
$XX
Urgent Care
$XX
Emergency Room
$XX
Benefit Highlights
In-Network
Deductible (Individual/Family)
$50/up to $150 per family
Plan Maximum
$2,500
Preventive Care
$0
Basic Services
20% coinsurance after deductible
Major Procedures
50% coinsurance after deductible
Orthodontia (Adults and Children)
50% up to a Lifetime Maximum of $2,000
Out-of-Network
Deductible (Individual/Family)
$50/up to $150 per family
Plan Maximum
$2,500
Preventive Care
$0
Basic Services
20% after deductible
Major Procedures
50% after deductible
Orthodontia (Adults and Children)
50% up to a Lifetime Maximum of $2,000
Plan Documents
Contact Information
Delta Dental PPO Base
Plan Information
Plan Name: Delta Dental PPO Base
Policy Number: 21578
Effective Date: 01/01/2025
Network: Delta Dental
In-Network Benefit Highlights
Deductible (Individual/Family)
$XX/$XX
Out-of-Pocket Max (Individual/Family)
$XX/$XX
Preventive Care
$XX
Primary Care Visit
$XX
Specialist Visit
$XX
Urgent Care
$XX
Emergency Room
$XX
Benefit Highlights
In-Network
Deductible (Individual/Family)
$50/up to $150 per family
Plan Maximum
$1,750
Preventive Care
$0
Basic Services
20% coinsurance after deductible
Major Procedures
50% coinsurance after deductible
Orthodontia (Adults and Children)
50% up to a Lifetime Maximum of $2,000
Out-of-Network
Deductible (Individual/Family)
$50/up to $150 per family
Plan Maximum
$1,750
Preventive Care
$0
Basic Services
20% coinsurance after deductible
Major Procedures
50% coinsurance after deductible
Orthodontia (Adults and Children)
50% coinsurance up to a Lifetime Maximum of $1,500