Uniform Dental

Uniform Dental is only available if you enroll in health insurance under the State of Wisconsin Group Health Insurance Program. It offers coverage for diagnostic, preventive, basic and children’s orthodontic services.

Your dental coverage will mirror your health insurance; if you elect family health insurance with dental, you will be enrolled in family dental coverage. If you elect individual health insurance with dental coverage, you will be enrolled in individual dental coverage. Uniform Dental is added to your health insurance premium.

Enrollment continues each year unless you cancel during the open enrollment period.

Supplemental Dental

You can supplement your Uniform Dental Benefit coverage with two new options for the 2019 plan year:

  • Delta Dental PPO℠ - Select Plan
  • Delta Dental PPO Plus Premier™ - Select Plus Plan

You can enroll in a supplemental dental plan without enrolling in Uniform Dental. You may only enroll in one of these supplemental dental plans.

If you were previously enrolled in supplemental dental, you must enroll in a new plan to continue coverage. In future years, your supplemental coverage will continue unless you cancel it during open enrollment.

Plan Administrator

Delta Dental Logo

Go to Delta Dental and create an account to:

  • Find in-network providers
  • Print ID cards
  • View your benefits and claims
  • Find valuable dental health resources
  • Ask questions

Comparison Table

 

Uniform Dental

Select

Select Plus

Employee - Monthly Payment (Premium)

Uniform Dental is added to your health insurance premium.

Supplemental dental is a separate deduction.

$3 (Individual)

$8 (Family)

$8.55
(Individual)

$11.54
(Individual + Children)

$17.10
(Individual + Spouse)

$20.52
(Family)

$16.19
(Individual)

$29.95
(Individual + Children)

$32.38
(Individual + Spouse)

$49.38
(Family)

Retiree - Monthly Payment (Premium)

Uniform Dental is added to your health insurance premium.

Supplemental dental is a separate deduction.

$30.20 (Individual)

$75.50 (Family)*

*Medicare 1 and Medicare 2 recipients pay a family rate of $60.40

$14.25
(Individual)

$19.24
(Individual + Children)

$28.50
(Individual + Spouse)

$34.20
(Family)

$25.83
(Individual)

$47.79
(Individual + Children)

$51.66
(Individual + Spouse)

$78.78
(Family)

In-Network Providers

No out-of-network coverage

Delta Dental PPO or Premier providers

Delta Dental PPO providers

Delta Dental PPO or Premier providers

Annual Deductible

None

$100 / person

$25 / person

Annual Benefit Max

$1,000 / person

$1,000 / person

$2,500 / person

Waiting Period

None

None

None

Routine evaluations, dental cleanings, sealants, bitewing and panoramic X-rays, fluoride treatments

100%

No coverage

No coverage

Fillings

100%

No coverage

No coverage

Anesthesia (general and IV sedation)

80%

50%

80%

Emergency pain relief

80%

No coverage

No coverage

Periodontal Maintenance

80%

No coverage

No coverage

Crowns, bridges, dentures, implants

No coverage

50%

60%

Surgical extraction, root canal (endodontics), periodontics (except maintenance), oral surgery

No coverage

50%

80%

Non-surgical extractions

90%

No coverage

No coverage

Orthodontics Coverage

50% (Under age 19)

No coverage

50%

(Regardless of age)

Orthodontics Lifetime Maximum

$1,500

No coverage

$1,500

(in addition to Uniform Dental)

 

Was this page helpful?