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Dental

Delta Dental Comprehensive Summary

Coverage percentages, deductibles, annual maximum, and provider lookup for the Delta Dental Comprehensive plan.

Delta Dental

Benefits

BenefitIn NetworkOut of Network
Preventive & Diagnostic — exams, cleanings, bitewing & full mouth X-rays, fluoride treatments (frequency limits apply), space maintainers100%100%
Basic — fillings, simple extractions, oral surgery, periodontics, root canals (endodontics), sealants80%50%
Major — crowns & gold restorations, bridgework, full & partial dentures, repair of dentures, implants50%50%
Annual Maximum (per person)
$1,500
Annual Deductible — Per Person
$50 in-network
$100 out of network
Annual Deductible — Family Maximum
$150 in-network
$300 out of network

Dental provider lookup

  1. Visit deltadental.com/us/en/member/find-a-dentist.html
  2. Specialty: choose one, or choose any · Plan: Delta Dental PPO
  3. Search by current location, or enter your zip code, and find dentists

Plan notes

Carryover Max℠ from Delta Dental lets you carry over a portion of your unused annual maximum into future years — useful for bigger procedures like bridges, crowns, and root canals.

The benefits outlined above are a summary of the quoted plan design. Full details, including limitations and exclusions, are provided in the group contract.

Questions about this benefit? An Indie Healthcare benefits specialist can walk you through it — no phone tree.