Dental Insurance

FY 2015-16 Information 

The State offers two dental insurance plans through Delta Dental.

  • Basic Plan
  • Basic Plus Plan
The dental plans differ in monthly premium cost and how much reimbursement is available. 
 
Delta Dental Prevention First Program 
  • Prevention First Program applies to both the Basic and Basic Plus plans.
  • The Prevention First Program ensures eligible diagnostic and preventive services (e.g. exams, x-rays, cleanings, etc.) do not to count towards the annual maximum benefit. When you see an in-network Delta Dental provider you will always have your diagnostic and preventive services covered at 100% even if your annual maximum benefit has already been reached for the plan year.

Delta Dental FY 2015-16 Basic Plan 

  • Annual Maximum Benefit: $1,000 per person per plan year
  • Orthodontic Benefit: Not applicable
  • Plan Year Deductible: $50 per person. $150 per family.
  • Diagnostic & Preventive Services: 100%. Deductible does not apply.
  • Basic Services: 70%
  • Major Services: 50%
  • Orthodontic Services: Not applicable

Delta Dental FY 2015-16 Basic Plus Plan 

  • Annual Maximum Benefit: $2,000 per person per plan year
  • Orthodontic Benefit: $2,000 per person per lifetime (for eligible children and adults)
  • Plan Year Deductible: $50 per person. $150 per family.
  • Diagnostic & Preventive Services: 100%. Deductible does not apply.
  • Basic Services: 80%
  • Major Services: 50%
  • Orthodontic Services: 50%. Deductible does not apply. 

Dental Premium Rates 

Dental Benefits Summary 

    Dental Summary Plan Description 

     


    Employee Resources