Dental & Vision · Dental and vision · one bundled plan
What does dental cover?
No changes to dental or vision deductibles or maximums.
Delta Dental of Minnesota and VSP still run them. The annual plan maximum is $3,000 on the Delta Dental PPO network.
Dental Plan Basics
- Coverage for preventive, basic, and major services.
- Includes orthodontic care for dependents.
- You're free to choose your own dentist!
- Also covers emergency dental care.
What comes out of your paycheck, per week
Bargaining unit · Dental and vision · per week
| Coverage | Per week |
|---|---|
| Just you | $9 |
| You + children | $13 |
| Family | $18 |
Dental and vision are one package: you choose them together.
What is covered
The table includes diagnostic and preventive services; basic services; oral surgery; endodontics; periodontics; major restorative services; prosthetic repairs, adjustments and prosthetics; orthodontics; and a TMJ lifetime maximum.
Your share and plan maximums
| Benefit | Delta Dental PPO | In-network | Out-of-network |
|---|---|---|---|
| Annual Deductible | $0 | $75 | $75 |
| Plan Annual Maximum | $3,000 | $2,500 | $2,500 |
| Diagnostic and Preventive | 10%* | 20%* | 20%* |
| Restorative Care | 20%* | 20%* | 20%* |
| Temporomandibular Joint (TMJ) Disorder | $1,500 | $1,500 | $1,500 |
| Orthodontia | 50% up to $3,000 | 50% up to $2,500 | 50% up to $2,500 |
*After deductible
Before treatment
- 1
Confirm whether the dentist is Delta PPO, Delta Premier or nonparticipating.
- 2
Review deductibles, maximums and your share with Delta Dental.
- 3
Keep documents for any reimbursement claim.
Who to call
Questions? Horizon Solution Center · (866) 449-7712