Teammates

Overall good health includes taking care of your oral health. Delta Dental, the provider and administrator for the Dental Plan, gives you expanded network coverage and great service.

Teammate Bi-Weekly Cost for Dental Coverage

Coverage Level Full Time*  Part-Time* 
Teammate Only $9 $12
Teammate + Spouse $25 $31
Teammate + Children $30 $39
Teammates, Spouse & Children $43 $55

Deducted 26 times per calendar year (Note: Monthly teammates multiply premium by 26 and divide by 12.)

*Full-time premiums apply to teammates with standard hours of 30 or more per week (60 or more per pay period.)

**Part-time premiums apply to teammates with standard hours of 24-29 per week (48-59 per pay period.)

Dental Plan Features At-A-Glance

Plan Feature Benefits
Calendar Year Maximum (Class I, II, III Expenses) $2,000 / $1,700*
Calendar Year Deductible Individual $50 per person
Aggregate Family Maximum $150 per family
Preventive & Diagnostic Care/Certain Restrictions Apply
Oral Exams, Cleanings, Full mouth X-rays, Bitewing X-rays, Panoramic X-rays, Fluoride application, Sealants, Space maintainers, Emergency care to relieve pain
100%, no deductible, does not apply to coverage maximum
Reasonable and customary limits apply to out-of-network
Basic Restorative Care
Fillings, Cleanings, Root canal therapy, Osseous surgery, Periodontal scaling and root planning, Denture adjustments and repairs, Extractions, Anesthetics, Oral surgery
80%, after deductible
Reasonable and customary limits apply to out-of-network
Major Restorative Care
Crowns, dentures, bridges, implants
50%, after deductible
Reasonable and customary limits apply to out-of-network
Orthodontia (Teammate & Dependents) 50%, after deductible
$1,500 per person - lifetime maximum
Reasonable and customary limits apply to out-of-network
Pretreatment Review Available on a voluntary basis when extensive dental work in excess of $200 is proposed

*Once calendar year maximum is met, any additional dental services are paid out-of-pocket for the remainder of the plan year.