Dental Coverage
Our dental plans, through Delta Dental of Colorado (DDCO), help you maintain a healthy smile. Preventive visits are covered
at no cost to you, so your preventive care doesn’t count toward your annual benefit maximum.
With both dental plans, you may visit any dentist of your choice, but you’ll receive the highest coverage when you visit in-network providers. To find a dentist, visit www.deltadental.com, download the Delta Dental mobile app, or call 800-610-0201.
| Plan Features | Basic | Basic Plus | ||||
|---|---|---|---|---|---|---|
| Calendar Year Deductible (waived for Preventive Services) |
$50 individual $150 family |
$50 individual $150 family |
||||
| Calendar Year Benefit Maximum | $1,500/person | $3,000/person | ||||
| Diagnostic & Preventive Services (e.g., x-rays, cleanings, exams) |
Covered in full | Covered in full | ||||
| Basic & Restorative Services (e.g., fillings, extractions, root canals) |
70% | 80% | ||||
| Major Services (e.g., dentures, crowns, bridges) |
50% | 50% | ||||
| Orthodontia | Not covered | 50% | ||||
| Orthodontia Lifetime Maximum | N/A | $3,000/person | ||||
| Providers | ||||||
| PPO Providers | DDCO pays based on PPO Allowable Fee | |||||
| Premier Providers | DDCO pays based on Maximum Plan Allowance | |||||
| Non-Participating Providers | DDCO pays based on a portion of PPO Allowable Fee | |||||
