Your healthy smile starts here! Our dental plans help keep your teeth and gums healthy through regular preventive care and provide coverage for services that can help address dental issues before they become more serious and costly.
You have two Delta Dental plans to choose from. You may visit any dentist, but you’ll receive the highest coverage when you visit a Delta Dental PPO Plus or PPO Premier network provider. To find an in-network provider near you, visit deltadentalnj.com.
| Plan Features | Delta Dental PPO Essential | Delta Dental PPO Premium | ||
|---|---|---|---|---|
| In-Network | Out-of-Network* | In-Network | Out-of-Network* | |
| Annual Benefit Maximum | Plan pays $1,000 | Plan pays $2,000 | ||
| Orthodontia Lifetime Maximum | N/A | Plan pays $2,000 | ||
| You Pay: | You Pay: | |||
| Calendar Year Deductible Individual/Family (waived for Preventive Services) |
$100 / $300 | $150 / $450 | $50 / $150 | |
| Diagnostic & Preventive Services (x-rays, cleanings, exams) |
Covered in full | Covered in full | Covered in full | Covered in full |
| Basic & Restorative Services (fillings, extractions, root canals) |
30% after deductible | 50% after deductible | 10% after deductible | 20% after deductible |
| Major Services (dentures, crowns, bridges, implants) |
50% after deductible | 50% after deductible | 40% after deductible | 50% after deductible |
| Orthodontia | Not covered | 50% after deductible | 50% after deductible | |
*For out-of-network services, members pay applicable coinsurance plus any amount that exceeds the usual, customary, and reasonable charge.
Review plan summaries for detailed information.