Small Group Pediatric EHB Benefit Summaries

(10-50)

Pediatric essential teddy bear

 

Basic PPO
Pediatric





Annual maximum
(per covered person)
PPO/Premier & OON

None

Maximum annual out of pocket
PPO/Premier & OON
1 child/2 or more children

$350/
$700 or
No limit

Deductible
PPO/Premier & OON
(applied to P&D)

$135/
$405

Enhanced PPO
Pediatric





Annual maximum
(per covered person)
PPO/Premier & OON

None

Maximum annual out of pocket
PPO/Premier & OON
1 child/2 or more children

$350/
$700 or
No limit

Deductible
PPO/Premier & OON
(excluding P&D)

$35/
$105

Basic PPO Plus Premier Pediatric





Annual maximum
(per covered person)
PPO/Premier & OON

None

Maximum annual out of pocket
PPO/Premier & OON
1 child/2 or more children

$350/
$700 or
No limit

Deductible
PPO/Premier & OON
(applied to P&D)

$135/
$405

Enhanced PPO Plus Premier Pediatric





Annual maximum
(per covered person)
PPO/Premier & OON

None

Maximum annual out of pocket
PPO/Premier & OON
1 child/2 or more children

$350/
$700 or
No limit

Deductible
PPO/Premier & OON
(excluding to P&D)

$35/
$105






 

Special Health Care Needs Benefit
See Benefits

The Special Health Care Needs Benefit from Delta Dental: Helping to break down barriers to care by providing eligible covered members with an enhanced benefit

DeltaVision employee vision plans
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Combining Deltavision with your Delta Dental benefits provides you with the convenience and affordability of two excellent programs in a single package

Teledentistry Virtual Visits
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"Virtual Visits" service is provided by Teledentistry.com. This service is a covered benefit in most Delta Dental of New Jersey plans for currently enrolled members.

Delta Dental hearing savings program
See Benefit

We've partnered with Amplifon Hearing Health Care to offer members access to a NO-COST hearing savings program that brings members huge savings on hearing aids and services.