Supplemental Dental

You can enhance your Uniform Dental Benefit or Preventive Plan coverage with:

  • 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 either the Select Plan or Select Plus Plan, not both.

Provider Directory

Check the Delta Directory of Dentists to see if your dentist is in the network you choose. 

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

Supplemental Dental Comparison Table

 

Preventive Plan

Select Plan

Select Plus Plan

Employee - Monthly Payment (Premium)

Uniform Dental is added to your health insurance premium .

Supplemental dental is a separate deduction .

$30.20 (Individual)

$75.50 (Family)

$9.28
(Individual)

$12.52
(Individual + Child(ren))

$18.56
(Individual + Spouse)

$22.28
(Family)

$16.82
(Individual)

$31.12
(Individual + Child(ren))

$33.64
(Individual + Spouse)

$51.30
(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)

$15.44
(Individual)

$21.19
(Individual + Child(ren))

$31.39
(Individual + Spouse)

$37.67
(Family)

$27.06
(Individual)

$50.06
(Individual + Child(ren))

$54.12
(Individual + Spouse)

$82.54
(Family)

In-Network Providers

No out-of-network coverage

Delta Dental PPO or Premier Provider

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 and pulp vitality tests

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

100%

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)

 

Important to Note

  • Employers do not contribute to the premiums for the Preventive, Select and Select Plus plans.
  • Throughout the year, eligible employees may enroll or make changes to their enrollment based on qualifying events such as marriage , divorce, birth, adoption or loss of other comparable coverage. Go to ETF's Life Events Guide for a full list. 
  • With few exceptions, once enrolled, you must remain in the plan for the full year. Mid-year cancellation procedures follow those for health insurance—see the Frequently Asked Question “How do I cancel coverage.”
  • You may cancel your new or existing enrollment during the annual open enrollment period .
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