Good dental health is critical to your overall well-being. You may purchase dental insurance that is designed to prevent problems before they occur.
Your dental plan is administered by Delta Dental. This plan provides for a wide array of dental services with an annual limit of $2,000 per person per year.
To find a dentist, review your benefits, download or print your ID card and much more, go to www.nedelta.com or call 800-832-5700.
| Dental Benefit | PPO Network | Premier Network |
| Deductible (Single/Family) | $100/$300 | $100/$300 |
| Preventive Services | 100% | 100% |
| Basic Services | 80% | 80% |
| Major Services | 50% | 50% |
*Out of network providers may balance bill based on contracted amount paid.
Resources
Delta Dental Double Up Max Rollover
Save Your Unused Claims Dollars For When You Need Them Most
Delta Dental will roll over a portion of your unused annual maximum into your personal Maximum Rollover Account. If you reach your Plan Annual Maximum in future years, you can use money from your rollover account. To qualify for the rollover benefit, you must have a paid claim (not just a visit) and must not have exceeded the paid claims threshold during the benefit year. Your rollover account balance may not exceed double your annual maximum ($2,000 annual max so rollover can have an additional $2,000 accumulated over the years to a max of $4,000). Your balance into this account will be displayed on Delta’s member portal in future years.
Please note that actual maximum limitations and thresholds vary by plan. Your plan may vary from the one used below as an example to illustrate how the Double Up Max Rollover functions. See the Dental Summary under resources to see how the benefit works!
| Year 1 | Year 2 | Year 3 | |||
| Calendar Year Maximum | $2,000 | Calendar Year Maximum | $2,000 | Calendar Year Maximum | $2,000 |
| Double-Up Max benefit from previous years | N/A | Double-Up Max benefit from previous years (year 1) |
$250 | Accumulated Double-Up Max from previous years (year 1) | $250 |
| Benefit Dollars Available | $2,000 | Benefit Dollars Available | $2,250 | Benefit Dollars Available | $2,250 |
| Total claims paid | $300 (less than $500) |
Total claims paid | $750 (over $500) |
Total claims paid | $425 (less than $500) |
| Oral Exam or Cleaning during year | YES | Oral Exam or Cleaning during year | YES | Oral Exam or Cleaning during year | YES |
| Qualified for Double-Up Max | YES | Qualified for Double-Up Max | NO (over $500 threshold) |
Qualified for Double-Up Max | YES |
| Earned Double-Up Max available for use in subsequent years | $250 | Earned Double-Up Max available for use in subsequent years | $0 | Earned Double-Up Max available for use in subsequent years* | $250 |
