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
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) |
$30.20 (Individual) $75.50 (Family)* *Medicare 1 and Medicare 2 recipients pay a family rate of $60.40 |
|
In-Network 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 |
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 |