Small Group PPO Voluntary Benefit Summaries

(2-9)

Small Group Plan Headers_Voluntary

 

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





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

$1,000,
$1,500
or $2,000

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 4 maximum options
No waiting period






Calendar year maximum
PPO/Premier
& OON
per enrollee

$1,000,
$1,500,
$2,000
or $3,000

Deductible

PPO
per person/per family (excluding P&D)

Premier & OON
per person/per family (excluding P&D)




$50/$150



$75/$225






 

*These are benefit highlights only. Additional exclusions and limitations may apply. Monthly premiums shown are examples only of our lowest monthly rates per employee for employee only coverage. Actual rates vary based on plan choice, your location, and number of people insured. For full details of plans, benefits and pricing, please contact one of our account executives.

Special Health Care Needs Benefit
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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.