Small Group PPO Voluntary Benefit Summaries
(10-50)
PPO
Voluntary 3
100/80/50 plan
with 3 maximum options
No waiting period
Calendar year maximum
PPO/Premier
& OON
per enrollee
$1,000,
$1,500 or
$2,000
Deductible
PPO/Premier
& OON
per person/per family (excluding P&D)
$50/
$150
Calendar year maximum
PPO/Premier
& OON
per enrollee
$2,000
Ortho maximum
$1,000
Deductible
PPO/Premier
& OON
per person/per family (excluding P&D)
$50/
$150
PPO
Voluntary A
100/80/50 & 80/60/50 plans
with 3 maximum options
No waiting period
Calendar year maximum
PPO/Premier
& OON
per enrollee
$1,500/
$1,000,
$2,000/
$1500 or
$3,000/
$2,500
Deductible
PPO
per person/per family (excluding P&D)
Premier & OON
per person/per family (excluding P&D)
$50/$150
$75/$225
PPO
Voluntary C
100/100/60 & 100/80/50 plans
with 3 maximum options
No waiting period
Calendar year maximum
PPO/Premier
& OON
per enrollee
$2,000,
$2,500,
$3,000
Deductible
PPO
per person/per family (excluding P&D)
Premier & OON
per person/per family (excluding P&D)
$50/$150
$75/$225
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
Combining Deltavision with your Delta Dental benefits provides you with the convenience and affordability of two excellent programs in a single package
"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.
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.
