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.

You may choose to elect dental during the annual open enrollment period as part of your health insurance coverage. New employees may enroll within 30 days of their eligibility.

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. The Uniform Dental premium is added to your health insurance premium.

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

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

Breakdown of Costs

 

Uniform Dental

Monthly Payment (Premium)
Added to your health insurance premium

$30.20 (Individual)

$75.50 (Family)*

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

In-Network Providers
No out-of-network coverage

Delta Dental PPO or Premier providers

Annual Deductible

None

Annual Benefit Max

$1,000 / person

Waiting Period

None

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

100%

Fillings

100%

Anesthesia
General and IV sedation

80%

Emergency pain relief

80%

Periodontal Maintenance

80%

Crowns, bridges, dentures, implants

No coverage

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

No coverage

Non-surgical extractions

90%

Orthodontics Coverage

50% (Under age 19)

Orthodontics Lifetime Maximum

$1,500

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