Provider: Delta Dental
Our dental provider is Delta Dental. They do not issue ID cards but you can print one when you create an online account at deltadentaloh.com.
Eligibility
Benefit eligible employees and their spouses and/or same or opposite sex domestic partners (see definition of a domestic partner under Group Health Insurance) and their children are eligible.
Enrollment
Participation is optional and becomes effective on the date of employment if elected. Please contact the Office of Human Resources for enrollment information.
Cost Per Month
Costs for the Dental Plan are available on our Fringe Benefits Cost Sheet, located on the benefits main page.
Preventive Services
Oral exams, teeth cleaning, x-rays, fluoride treatment for children, space maintainers, and topical sealants for children, etc.
Basic Services
Diagnostic services, restorative services, endodontics, certain periodontic services, oral surgery, certain prosthodontic services, general anesthesia, injectable antibiotics, etc.
Major Services
Restorative services, prosthodontic services, etc.
Orthodontia Services
Covers braces and appliances for children to the age of 19. There is a lifetime maximum of $1,000 per covered child.
Deductible
None for preventive or orthodontia. $50 per plan year (July 1 through June 30) for basic and major services, limited to only three deductibles per family.
Benefit Level Maximum
Maximum of $1,500 per covered person per year.
Dependent Children
Covered to the end of the month in which the child attains the age of 26.