Dental

Our Dental plan, provided by Delta Dental, allows you to access quality care through a network to smile about. By choosing a dentist within Delta Dental’s PPO Network, you’ll keep more dollars in your pocket.

To maximize coverage of your dental expenses, choose a Delta Dental PPO Dentist. But, if it’s better for your circumstances, you can choose a Delta Dental Premier Dentist or a Non-Participating Dentist. The table below shows a comparison of coverage.

CLASS I
Delta Dental PPO Dentist Delta Dental Premier Dentist Non-Participating Dentist
Diagnostic and Preventive Services - Used to diagnose and/or prevent dental abnormalities or disease (includes exams, cleanings) 100%100%90%
Emergency Palliative Treatment - Used to temporarily relieve pain 100%100%90%
Radiographs - X-rays 100%100%90%
Sealants (to age 15) - Dental sealants to prevent decay of permanent molars 100%100%90%
CLASS II
Delta Dental PPO Dentist Delta Dental Premier Dentist Non-Participating Dentist
Oral Surgery Services - Extractions and dental surgery, including preoperative and postoperative care 90%80%60%
Minor Restorative Services - Used to repair teeth damaged by disease or injury (for example, amalgam [silver] and resin [white] fillings) 90%80%60%
Endodontic Services - Used to treat teeth with diseased or damaged nerves (for example, root canals) 90%80%60%
Relines and Repairs - Relines and repairs to bridges and dentures 90%80%60%
Periodontic Services - Used to treat diseases of the gums and supporting structures of the teeth 60%60%40%
CLASS III
Delta Dental PPO Dentist Delta Dental Premier Dentist Non-Participating Dentist
Major Restorative Services - Used when teeth can’t be restored with another filling material (for example, crowns) 60%60%40%
Prosthodontic Services - Used to replace missing natural teeth (for example, bridges, implants and dentures) 60%60%40%
CLASS IV
Delta Dental PPO Dentist Delta Dental Premier Dentist Non-Participating Dentist
Orthodontic Services (to age 19) - Used to correct malposed teeth and/or facial bones (for example, braces) 60%60%60%
Maximum Payment $1,500 per person total per calendar year for Class I, Class II and Class III Benefits, excluding preventive cleanings and exams. Delta Dental’s payment for Class IV Benefits will not exceed a lifetime maximum of $2,000 per eligible person.
Deductible $25 per person total per calendar year limited to a maximum deductible of $75 per family per calendar year on Class II and Class III Benefits. The deductible does not apply to Class I or Class IV Benefits or the Delta PPO Network.

How much does this benefit cost?

Coverage type Associate cost per pay period (26 pay periods per year)
Associate only $12.33
Associate + 1 $19.71
Family $28.34
In 2020, 19,000 associates chose Dental coverage

How to make the most of this benefit

  • Add dependent coverage - your spouse and any children through the month they turn age 26 are eligible
  • Choose a Delta Dental PPO Dentist to maximize coverage of your dental expenses
  • Combine this benefit with an HSA or Healthcare Flexible Spending Account to get eligible out-of-pocket expenses reimbursed
  • Request a pre-treatment estimate to find out whether a proposed dental treatment is covered, what amount the plan will pay and the difference you will be responsible for
  • Change your coverage at any time during the year if you have a relevant and qualified change in family status (e.g. you get married and want to add your spouse) - read more under Enrollment
Find a dentist

The OhioHealth Group Number is 9711

Contact Delta Dental
Call 1 (800) 524.0149

The OhioHealth Group Number is 9711