Group Dental Plans

Delta Dental offers the following Premier Dental Plans. Other plan options are available for larger groups.

Premier Plans* - Effective 10/01/10
Plan	Ded	Max	Benefit
^Summary only. Select benefit detail for more specific coverage. Important features included with all dental plans:* Endodontics, Periodontics & Oral Surgery in Basic Extra cleanings for pregnant women & members with diabetes ViziLite screening for early oral cancer detection No waiting periods No missing tooth clauses No age limits for sealants No balance billing for contracted provider services
A0	None	$1,500	70%-100%, 70%-100%, 50%
A01	None	$1,000	70%-100%, 70%-100%, 50%
A02	None	$2,000	70%-100%, 70%-100%, 50%
B3X50	$50/$150	$1,500	100%-ded. waived, 80%, 50%
B3X501	$50/$150	$1,000	100%-ded. waived, 80%, 50%
B3X502	$50/$150	$2,000	100%-ded. waived, 80%, 50%
D3X50	$50/$150	$1,500	80%-ded. waived, 50%, 50%
D3X501	$50/$150	$1,000	80%-ded. waived, 50%, 50%
D3X502	$50/$150	$2,000	80%-ded. waived, 50%, 50%
W3X50	$50/$150	$1,500	80%-ded. waived, 80%, 50%
W3X501	$50/$150	$1,000	80%-ded. waived, 80%, 50%
W3X502	$50/$150	$2,000	80%-ded. waived, 80%, 50%
AKO3X25	$25/$75	$2,500	100% ded. waived, 85%, 75% 50% ortho ($2,000 max)