Your healthy smile starts here! Our dental plans help keep your teeth and gums healthy through regular preventive dental care and offer coverage to fix problems early.
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* | |
| You Pay: | You Pay: | |||
| Calendar Year Deductible Individual/Family (waived for Preventive Services) |
$100 / $300 | $150 / $450 | $50 / $150 | |
| Annual Benefit Maximum | Plan pays $1,000 | Plan pays $2,000 | ||
| 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 | Not covered | 50% after deductible | 50% after deductible |
| Orthodontia Lifetime Maximum | N/A | N/A | $2,000 | |
*For out-of-network services, members pay applicable coinsurance plus any amount that exceeds the usual, customary, and reasonable charge.
See the Benefits Guide or plan summaries for detailed information.