Notice
Our offices will be closed on Monday, May 26, 2025 in observance Memorial Day. Warm wishes to you and your family as we honor and remember the brave men and women who sacrifice in service of our nation.
From Friday May 23rd through Friday, August 29, 2025: Customer Service hours will be 8:00 AM – 6:30 PM EST Monday through Thursday and 8:00 AM - 1:00 PM EST on Friday.
To view benefit information and claim status at any time, you can sign into your account or use our Interactive Voice Response System 24/7 at 800-452-9310.
Delta Dental PPO Plus Premier™ Plan Comparison
Group #9533
| Service | Delta Dental PPO Plus Premier™ Basic plan |
Delta Dental PPO Plus Premier™ Enhanced plan |
|---|---|---|
| Calendar year maximum (per person) | $1,000 | $2,000 |
| Calendar year deductible (waived on Preventive & Diagnostic) | ||
| Per person | $100 | $50 |
| Family aggregate | $200 | $100 |
| Preventive & Diagnostic | ||
| Exams, Cleanings, Bitewing X-Rays (each twice in a calendar year) | 100% | 100% |
| Fluoride treatment (twice in a calendar year, children to age 19) | 100% | 100% |
| Sealants | 100% | 100% |
| Space Maintainers | 100% | 100% |
| Remaining Basic | ||
| Fillings, Extractions | 60% | 80% |
| Endodontics (root canal) | 60% | 80% |
| Periodontics, Oral surgery | 60% | 80% |
| Crowns & Prosthodontics (after deductible) | ||
| Crowns, gold restorations (over natural teeth) | 40% | 50% |
| Bridgework | 40% | 50% |
| Implants | 40% | 50% |
| Full & Partial dentures | 40% | 50% |
| Repair of Dentures | 40% | 50% |
| Orthodontics (Adult and Dependent Children) | ||
| Co-insurance | Not a benefit | 50% |
| Lifetime maximum (per person) | N/A | $2,000 |
Your dentist's network will impact how much you pay. Dentists that help participate in the Delta Dental PPO will have the lowest costs and will save you the most out of pocket expense. Dentists that participate in Delta Dental Premier, are participating Delta Dental dentists, but you will pay a greater portion of the cost if utilized. If you receive services from a non-participating, out of network dentists, you will pay the most out of pocket and are responsible for your coinsurance amount plus the difference between Delta Dental's approved fee and the dentist submitted fee for the claim.
