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.
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 $12.52 $18.56 $22.28 |
$16.82 $31.12 $33.64 $51.30 |
|
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 $21.19 $31.39 $37.67 |
$27.06 $50.06 $54.12 $82.54 |
|
In-Network Providers No out-of-network coverage |
Delta Dental PPO or Premier Provider | ||
|
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.