Delta Dental Voluntary Dental Insurance

Delta Dental | +1800-237-6060 | www.deltadentalva.com/

Delta Dental is our dental provider. You have two options from which to choose under the Delta Dental plan. Please view the Delta Dental Plan Comparison Chart on this page to see the differences between the two plans.

Delta Dental: Base Plan

2024 Total Monthly Premiums Employee Monthly Cost Employee Cost Bi-Weekly (24 pays)
Employee Only $22.23 $22.23 $11.12
Employee+Child $40.27 $40.27 $20.14
Employee+Spouse $40.27 $40.27 $20.14
Employee+Family $68.95 $68.95 $34.48

Delta Dental: Enhanced Plan

2024 Total Monthly Premiums Employee Monthly Cost Employee Cost Bi-Weekly (24 pays)
Employee Only $32.85 $32.85 $16.43
Employee+Child $59.51 $59.51 $29.76
Employee+Spouse $59.51 $59.51 $29.76
Employee+Family $101.89 $101.89 $50.95

 

Dental Plan Comparison Chart

(PDF Version)

Base Plan

Base Plan FAQs

Enhanced Plan

Enhanced Plan FAQs

Providers PPO Premier OON PPO Premier OON

Diagnostic/Preventative

  • (exams, cleanings, flouride, x-rays, sealants)
100% 100% 70% 100% 100% 70%

Basic Services

  • (fillings, simple extractions)

80%

after deductible

80%

after deductible

50%

after deductible

80%

after deductible

80%

after deductible

50%

after deductible

Major Services

  • (oral surgery, periodontics, endodontics, crowns, dentures, bridges, denture repair & recementation)
0% 0% 0%

50% 

after deductible

50% 

after deductible

50% 

after deductible

Orthodontia

  • (Adult and Child)
0% 0% 0%

50% 

after deductible

50% 

after deductible

50% 

after deductible

Annual Deductible

$50 individual

$150 family

$50 individual

$150 family

$100 individual

$300 family

$25 individual

$75 family

$25 individual

$75 family

$50 individual

$150 family

Maximums

  • Calendar Year
$1,250 $1,250 $1,250 $2,000 $2,000 $2,000
  • Lifetime Ortho
Not covered Not covered Not covered $2,000 $2,000 $2,000